senate Bill S3788

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

  • 15 / Feb / 2013
    • REFERRED TO CIVIL SERVICE AND PENSIONS
  • 18 / Mar / 2013
    • 1ST REPORT CAL.221
  • 19 / Mar / 2013
    • 2ND REPORT CAL.
  • 20 / Mar / 2013
    • ADVANCED TO THIRD READING
  • 17 / Jun / 2013
    • SUBSTITUTED BY A481

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:
A481
Versions:
S3788
Legislative Cycle:
2013-2014
Law Section:
Civil Service Law
Laws Affected:
Amd ยง162, Civ Serv L
Versions Introduced in 2011-2012 Legislative Cycle:
S7499A, A10333A

Votes

11
0
11
Aye
0
Nay
0
aye with reservations
0
absent
0
excused
0
abstained
show Civil Service and Pensions committee vote details

Sponsor Memo

BILL NUMBER:S3788

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 employers 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: 2012: S.7499-A - Rules

FISCAL IMPLICATIONS: None.

EFFECTIVE DATE: Immediately.

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

                                  3788

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                            February 15, 2013
                               ___________

Introduced  by Sen. FLANAGAN -- read twice and ordered printed, and when
  printed to be committed to the Committee on Civil Service and Pensions

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.
                                                           LBD01514-01-3

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