senate Bill S7499A

Relates to transparency in health insurance claims data for public employers participating in the New York state health insurance program

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Sponsor

Bill Status


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor
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actions

  • 29 / May / 2012
    • REFERRED TO CIVIL SERVICE AND PENSIONS
  • 15 / Jun / 2012
    • AMEND AND RECOMMIT TO CIVIL SERVICE AND PENSIONS
  • 15 / Jun / 2012
    • PRINT NUMBER 7499A
  • 20 / Jun / 2012
    • COMMITTEE DISCHARGED AND COMMITTED TO RULES
  • 20 / Jun / 2012
    • ORDERED TO THIRD READING CAL.1418
  • 21 / Jun / 2012
    • RECOMMITTED TO RULES

Summary

Relates to transparency in health insurance claims data for public employers participating in the New York state health insurance program.

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Bill Details

See Assembly Version of this Bill:
A10333A
Versions:
S7499
S7499A
Legislative Cycle:
2011-2012
Current Committee:
Senate Rules
Law Section:
Civil Service Law
Laws Affected:
Amd ยง162, Civ Serv L

Sponsor Memo

BILL NUMBER:S7499A

TITLE OF BILL:
An act
to amend the civil service law, in relation to transparency in health
insurance claims data for public employers participating in the New York
state health insurance program

PURPOSE:
To provide public employers participating in NYSHIP information
relating to benefits, claims and premium payments on quarterly basis.

SUMMARY OF PROVISIONS:
Section 1: Requires the Department of Financial Services to disclose
to all employers participating in NYSHIP information on a quarterly
basis relating to that employer1s utilization of benefits, claims,
premium payments. Including, but not limited to claims paid by the
month, broken out by medical and pharmacy, and a separate listing of
claims over $50,000 in compliance with the health insurance
portability and accountability act of 1996.

Section 2: Establishes the effective date.

JUSTIFICATION:
Local governments and school districts participating in the New York
State Health Insurance Program (NYSHIP) are often not provided
timely, meaningful claims information about their own claims and
experience, even if they request it. This makes it difficult for them
to calculate current and future health care costs. This legislation
requires the Department of Financial Services to provide NYSHIP
participants with information relating to benefits, claims and
premium payments on a quarterly basis. The overall goal is to make
NYSHIP more transparent for local governments and school districts
participating in the program.

LEGISLATIVE HISTORY:
New Bill.

FISCAL IMPLICATIONS:
None.

EFFECTIVE DATE:
Immediately.

view bill text
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 7499--A

                            I N  S E N A T E

                              May 29, 2012
                               ___________

Introduced  by Sen. FLANAGAN -- read twice and ordered printed, and when
  printed to be committed to the Committee on Civil Service and Pensions
  -- committee discharged, bill amended, ordered  reprinted  as  amended
  and recommitted to said committee

AN  ACT  to  amend the civil service law, in relation to transparency in
  health insurance claims data for public employers participating in the
  New York state health insurance program

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Section 162 of the civil service law is amended by adding a
new subdivision 9 to read as follows:
  9.  THE  DEPARTMENT  SHALL  BE  REQUIRED  TO DISCLOSE TO ALL EMPLOYERS
PARTICIPATING IN THE NEW YORK STATE HEALTH INSURANCE PROGRAM, ON A QUAR-
TERLY BASIS AND IN A MANNER TO BE  DIRECTED  BY  THE  SUPERINTENDENT  OF
FINANCIAL SERVICES, ALL INFORMATION RELATING TO THAT EMPLOYER'S UTILIZA-
TION  OF  PROVIDED  BENEFITS,  CLAIMS  AND  PREMIUM  PAYMENTS, AND SHALL
INCLUDE, BUT NOT BE LIMITED TO, CLAIMS PAID  BY  MONTH,  BROKEN  OUT  BY
MEDICAL  AND PHARMACY, AND A SEPARATE LISTING OF CLAIMS OVER FIFTY THOU-
SAND DOLLARS IN COMPLIANCE WITH THE  HEALTH  INSURANCE  PORTABILITY  AND
ACCOUNTABILITY ACT OF 1996.
  S 2. This act shall take effect immediately.





 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD15872-03-2

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