Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jun 03, 2022 |
returned to senate passed assembly |
Jun 01, 2022 |
ordered to third reading rules cal.544 substituted for a8169a |
Jun 01, 2022 |
substituted by s7199a rules report cal.544 reported |
May 31, 2022 |
reported referred to rules |
May 27, 2022 |
reference changed to ways and means |
May 26, 2022 |
print number 8169a |
May 26, 2022 |
amend (t) and recommit to insurance |
Jan 05, 2022 |
referred to insurance |
Jul 07, 2021 |
referred to insurance |
Assembly Bill A8169A
2021-2022 Legislative Session
Sponsored By
CRUZ
Archive: Last Bill Status Via S7199 - Passed Assembly
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
Bill Amendments
co-Sponsors
Khaleel Anderson
Michaelle C. Solages
Chantel Jackson
Jo Anne Simon
2021-A8169 - Details
- See Senate Version of this Bill:
- S7199
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §3217-b, Ins L
2021-A8169 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 8169 2021-2022 Regular Sessions I N A S S E M B L Y July 7, 2021 ___________ Introduced by M. of A. CRUZ -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law and the public health law, in relation to certain prohibited contract provisions THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 3217-b of the insurance law is amended by adding a new subsection (m) to read as follows: (M) (1) NO INSURER THAT OFFERS A MANAGED CARE PRODUCT OR A COMPREHEN- SIVE POLICY THAT UTILIZES A NETWORK OF PROVIDERS SHALL ENTER INTO A CONTRACT, WRITTEN POLICY, WRITTEN PROCEDURE OR AGREEMENT (HEREINAFTER AND SOLELY FOR PURPOSES OF THIS SUBSECTION COLLECTIVELY REFERRED TO AS A "CONTRACT") WITH ANY HEALTH CARE PROVIDER THAT: (A) REQUIRES THE INSURER TO INCLUDE WITHIN THE SCOPE OF THE CONTRACT ALL COVERED GROUPS OF THE INSURER, INCLUDING GROUPS OR BENEFIT FUNDS THAT CONTRACT WITH THE INSURER, OR AN AFFILIATE OF THE INSURER, FOR ACCESS TO THE INSURER'S NETWORK OF PARTICIPATING PROVIDERS; (B) REQUIRES AN INSURER TO INCLUDE ALL MEMBERS OF A PROVIDER SYSTEM, INCLUDING MEDICAL PRACTICE GROUPS AND AFFILIATED FACILITIES, IN ITS NETWORK OF PARTICIPATING PROVIDERS; (C) REQUIRES AN INSURER, OR AN AFFILIATE OF AN INSURER, TO INCLUDE ALL MEMBERS OF A PROVIDER SYSTEM, INCLUDING MEDICAL PRACTICE GROUPS AND AFFILIATED FACILITIES, IN ALL PRODUCTS OFFERED BY THE INSURER OR AN AFFILIATE OF THE INSURER; (D) RESTRICTS THE ABILITY OF AN INSURER TO CREATE OR MODIFY A TIERED NETWORK BENEFIT PLAN OR REQUIRES AN INSURER TO PLACE ALL MEMBERS OF A PROVIDER SYSTEM, INCLUDING MEDICAL PRACTICE GROUPS AND AFFILIATED FACIL- ITIES, IN THE SAME NETWORK TIER OR OTHERWISE LIMITS THE RIGHT OF AN INSURER TO PLACE A PROVIDER IN A PARTICULAR TIER; EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD11774-01-1
co-Sponsors
Khaleel Anderson
Michaelle C. Solages
Chantel Jackson
Jo Anne Simon
2021-A8169A (ACTIVE) - Details
- See Senate Version of this Bill:
- S7199
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §3217-b, Ins L
2021-A8169A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 8169--A 2021-2022 Regular Sessions I N A S S E M B L Y July 7, 2021 ___________ Introduced by M. of A. CRUZ, ANDERSON, SOLAGES, JACKSON, SIMON, MAMDANI, FERNANDEZ, HEVESI, DINOWITZ, SEAWRIGHT, SAYEGH, J. D. RIVERA, WILLIAMS, JOYNER, TAPIA, BURGOS, BARNWELL, COLTON, GLICK, GONZALEZ-RO- JAS, FORREST, RAMOS, AUBRY, J. RIVERA, CARROLL, BURDICK, BICHOTTE HERMELYN, EPSTEIN, GALLAGHER, JACOBSON, SEPTIMO, DE LOS SANTOS, KIM, JEAN-PIERRE, DICKENS, NIOU -- read once and referred to the Committee on Insurance -- recommitted to the Committee on Insurance in accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to certain prohibited contract provisions THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 3217-b of the insurance law is amended by adding a new subsection (o) to read as follows: (O) (1) NO CONTRACT OR AGREEMENT BETWEEN A HEALTH PLAN SUBJECT TO THIS ARTICLE AND A HEALTH CARE PROVIDER, OTHER THAN A RESIDENTIAL HEALTH CARE FACILITY AS DEFINED BY SECTION TWO THOUSAND EIGHT HUNDRED ONE OF THE PUBLIC HEALTH LAW, SHALL INCLUDE A PROVISION THAT: (A) CONTAINS A MOST-FAVORED-NATION PROVISION; OR (B) RESTRICTS THE ABILITY OF A HEALTH PLAN, AN ENTITY THAT CONTRACTS WITH A HEALTH PLAN FOR A PROVIDER NETWORK, OR A HEALTH CARE PROVIDER TO DISCLOSE (I) ACTUAL CLAIMS COSTS OR (II) PRICE OR QUALITY INFORMATION REQUIRED TO BE DISCLOSED UNDER FEDERAL LAW, INCLUDING THE ALLOWED AMOUNT, NEGOTIATED RATES OR DISCOUNTS, OR ANY OTHER CLAIM-RELATED FINAN- CIAL OBLIGATIONS, INCLUDING, BUT NOT LIMITED TO, PATIENT COST-SHARING COVERED BY THE PROVIDER CONTRACT TO ANY INSURED, GROUP OR OTHER ENTITY RECEIVING HEALTH CARE SERVICES PURSUANT TO THE CONTRACT, OR TO ANY PUBLIC COMPILATION OF REIMBURSEMENT DATA SUCH AS THE NEW YORK ALL PAYER DATABASE REQUIRED BY LAW OR REGULATION, PROVIDED THAT NO DISCLOSURE EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD11774-09-2
Comments
Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.
Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.
Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.