senate Bill S6253

Signed by Governor

Relates to eligibility for health benefits; repealer

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Bill Status


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

  • 08 / Jan / 2014
    • REFERRED TO CIVIL SERVICE AND PENSIONS
  • 13 / Jan / 2014
    • COMMITTEE DISCHARGED AND COMMITTED TO RULES
  • 13 / Jan / 2014
    • ORDERED TO THIRD READING CAL.16
  • 23 / Jan / 2014
    • PASSED SENATE
  • 23 / Jan / 2014
    • DELIVERED TO ASSEMBLY
  • 23 / Jan / 2014
    • REFERRED TO GOVERNMENTAL EMPLOYEES
  • 06 / May / 2014
    • SUBSTITUTED FOR A8602
  • 06 / May / 2014
    • ORDERED TO THIRD READING CAL.616
  • 20 / May / 2014
    • PASSED ASSEMBLY
  • 20 / May / 2014
    • RETURNED TO SENATE
  • 11 / Jul / 2014
    • DELIVERED TO GOVERNOR
  • 22 / Jul / 2014
    • SIGNED CHAP.147

Summary

Relates to eligibility for health benefits.

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Bill Details

See Assembly Version of this Bill:
A8602
Versions:
S6253
Legislative Cycle:
2013-2014
Law Section:
Civil Service Law
Laws Affected:
Rpld & add ยง162 sub 9, Civ Serv L

Sponsor Memo

BILL NUMBER:S6253

TITLE OF BILL: An act to amend the civil service law, in relation to
eligibility for health benefits; and to repeal certain provisions of
such law relating thereto

PURPOSE: This bill is a chapter amendment to Chapter 547 of the Laws
of 2013, and has been agreed to by the Senate, Assembly and Executive.
Like Chapter 547, this bill would provide public employers
participating in New York State Health Insurance Program (NYSHIP) with
important utilization information relating to their benefits, claims
and premium payments. The chapter amendment makes appropriate changes
to streamline implementation.

SUMMARY OF PROVISIONS:

Section 1: Repeals subdivision 9 of section 162 of the civil service
law (as added by Chapter 547 of the Laws of 2013) relating to
transparency in health insurance claims data for public employers
participating in NYSHIP. Adds a new subdivision 9 requiring the
department of civil service, upon request, to provide a standard
report (no more frequently than semi-annually) to any participating
employer containing data on the use of benefits by persons covered
under the employer's plan. The report shall include premiums paid by
month for each month covered in the report and paid claims by month,
delineated by specific categories of services. Such report shall also
contain individual claimant information, to the extent allowed by
state and federal privacy laws, for those claims in excess of $50,000
paid in any of the months covered by the report. Sets forth a
timeframe for the Department of Civil Service to provide a report
requested by a participating employer.

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 Civil Service, upon request, to
provide NYSHIP participants with information relating to benefits,
claims and premium payments, but no more frequently than
semi-annually. The overall goal is to make NYSHIP more transparent for
local governments and school districts participating in the program.
This chapter amendment makes necessary changes to streamline
implementation of Chapter 547 of the Laws of 2013.

LEGISLATIVE HISTORY: 2013: S.3788/A.481 - Passed both houses
unanimously and approved (Chapter 547, L. 2013) 2012: S
7499-A/A.10333-A - Senate: Rules Committee, Assembly: Passed

FISCAL IMPLICATIONS: None

EFFECTIVE DATE: This act shall take effect immediately, provided
however, it shall be deemed to have been in full force and effect on
January 1, 2014.


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

                                  6253

                            I N  S E N A T E

                               (PREFILED)

                             January 8, 2014
                               ___________

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  eligibility  for
  health benefits; and to repeal certain provisions of such law relating
  thereto

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

  Section 1. Subdivision 9 of section 162 of the civil service  law,  as
added  by chapter 547 of the laws of 2013 is REPEALED and a new subdivi-
sion 9 is added to read as follows:
  9. AS SOON AS IS PRACTICABLE, BUT NO LATER THAN THE FIRST  OF  SEPTEM-
BER,  TWO  THOUSAND FOURTEEN, THE DEPARTMENT SHALL, UPON REQUEST, BUT NO
MORE FREQUENTLY THAN SEMI-ANNUALLY, PROVIDE TO ANY PARTICIPATING EMPLOY-
ER A STANDARD REPORT WHICH CONTAINS DATA RELATING TO THE USE OF BENEFITS
BY PERSONS COVERED UNDER THE PLAN BY SUCH EMPLOYER.  SUCH  REPORT  SHALL
INCLUDE: PREMIUMS PAID BY MONTH FOR EACH MONTH COVERED IN THE REPORT AND
PAID  CLAIMS  BY  MONTH FOR THE FOLLOWING CATEGORIES OF SERVICES:  INPA-
TIENT HOSPITAL, OUTPATIENT HOSPITAL, IN NETWORK MEDICAL, OUT OF  NETWORK
MEDICAL,  PRESCRIPTION  DRUGS,  AND  TREATMENT OF BEHAVIORAL CONDITIONS,
EACH REPORTED SEPARATELY. TO THE EXTENT ALLOWED  BY  STATE  AND  FEDERAL
PRIVACY  LAWS,  SUCH  REPORT  SHALL  ALSO CONTAIN CLAIMS INFORMATION FOR
INDIVIDUAL CLAIMANTS FOR CLAIMS IN EXCESS OF FIFTY THOUSAND DOLLARS THAT
WERE PAID IN ANY OF THE MONTHS COVERED BY THE REPORT.
  THE DEPARTMENT SHALL PROVIDE SUCH REPORTS TO ANY PARTICIPATING EMPLOY-
ER, UPON REQUEST SUBMITTED ON OR AFTER THE FIRST OF APRIL FOR DATA  FROM
THE  FIRST  OF JANUARY THROUGH THE THIRTY-FIRST OF DECEMBER OF THE PRIOR
YEAR, AND ON OR AFTER THE FIRST OF SEPTEMBER FOR DATA FROM THE FIRST  OF
JUNE  OF  THE  PRIOR YEAR THROUGH THE THIRTY-FIRST OF MAY OF THE CURRENT
YEAR, WITHIN THIRTY DAYS OF RECEIPT OF SAID REQUEST.  HOWEVER,  REQUESTS
SUBMITTED  IN  THE TWO THOUSAND FOURTEEN CALENDAR YEAR SHALL BE PROVIDED
AS SOON AS PRACTICABLE, BUT NO LATER THAN THE  FIRST  OF  SEPTEMBER  TWO
THOUSAND  FOURTEEN,  OR WITHIN THIRTY DAYS AFTER SAID REQUEST IF REQUEST
IS SUBMITTED ON OR AFTER THE FIRST OF AUGUST TWO THOUSAND FOURTEEN.
  S 2. This act shall take effect immediately and shall be deemed to  be
in full force and effect on and after January 1, 2014.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01514-03-4

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