Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Apr 04, 2024 |
referred to insurance delivered to senate passed assembly |
Feb 29, 2024 |
advanced to third reading cal.331 |
Feb 28, 2024 |
reported |
Feb 22, 2024 |
print number 7862a |
Feb 22, 2024 |
amend and recommit to insurance |
Jan 03, 2024 |
referred to insurance |
Jul 07, 2023 |
referred to insurance |
Assembly Bill A7862A
2023-2024 Legislative Session
Sponsored By
WEPRIN
Current Bill Status - In Senate Committee Insurance Committee
- 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
Bill Amendments
2023-A7862 - Details
- See Senate Version of this Bill:
- S7577
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§4224 & 4303, Ins L
2023-A7862 - Summary
Addresses non-covered dental services by prohibiting insurers from including in a contract or agreement with a dentist requirements to set fees or require approval fees for services not covered under a person's dental plan; prohibits medical expense indemnity corporations, dental expense indemnity corporations and health service corporations from including in a contract or agreement with a dentist requirements to set fees or require approval fees for services not covered under a person's dental plan.
2023-A7862 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7862 2023-2024 Regular Sessions I N A S S E M B L Y July 7, 2023 ___________ Introduced by M. of A. WEPRIN -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to addressing non-covered dental services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 4224 of the insurance law is amended by adding a new subsection (g) to read as follows: (G)(1) NOTWITHSTANDING ANY OTHER PROVISION OF THIS SECTION, NO INSURER OR MANAGED CARE ENTITY AUTHORIZED TO DO BUSINESS IN THIS STATE SHALL SET FEES, OR REQUIRE APPROVAL FEES, FOR SERVICES THAT ARE NOT COVERED UNDER A PERSON'S DENTAL PLAN. (2) FOR PURPOSES OF THIS SUBSECTION, "COVERED SERVICES" SHALL MEAN DENTAL SERVICES FOR WHICH REIMBURSEMENT IS AVAILABLE UNDER AN INSURED'S POLICY, REGARDLESS OF WHETHER THE REIMBURSEMENT IS CONTRACTUALLY LIMITED BY A DEDUCTIBLE, COPAYMENT, COINSURANCE, WAITING PERIOD, ANNUAL OR LIFE- TIME MAXIMUM, FREQUENCY LIMITATION OR ALTERNATIVE BENEFIT PAYMENT. § 2. Subsection (s) of section 4303 of the insurance law, as added by chapter 293 of the laws of 1992, is amended to read as follows: [(s)](S-1)(1) Notwithstanding any provision of a contract issued by a medical expense indemnity corporation, a dental expense indemnity corpo- ration or health service corporation, every contract which provides coverage for care provided through licensed health professionals who can bill for services shall provide the same coverage and reimbursement for such service provided pursuant to a clinical practice plan established pursuant to subdivision fourteen of section two hundred six of the public health law. (2) NOTWITHSTANDING ANY OTHER PROVISION OF THIS SECTION, NO MEDICAL EXPENSE INDEMNITY CORPORATION, DENTAL EXPENSE INDEMNITY CORPORATION OR HEALTH SERVICE CORPORATION AUTHORIZED TO DO BUSINESS IN THIS STATE SHALL EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD11752-01-3 A. 7862 2
co-Sponsors
Andrew Hevesi
Maritza Davila
Amy Paulin
Alec Brook-Krasny
2023-A7862A (ACTIVE) - Details
- See Senate Version of this Bill:
- S7577
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§4224 & 4303, Ins L
2023-A7862A (ACTIVE) - Summary
Addresses non-covered dental services by prohibiting insurers from including in a contract or agreement with a dentist requirements to set fees or require approval fees for services not covered under a person's dental plan; prohibits medical expense indemnity corporations, dental expense indemnity corporations and health service corporations from including in a contract or agreement with a dentist requirements to set fees or require approval fees for services not covered under a person's dental plan.
2023-A7862A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7862--A 2023-2024 Regular Sessions I N A S S E M B L Y July 7, 2023 ___________ Introduced by M. of A. WEPRIN -- read once and referred to the Committee on Insurance -- recommitted to the Committee on Insurance in accord- ance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said commit- tee AN ACT to amend the insurance law, in relation to addressing non-covered dental services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 4224 of the insurance law is amended by adding a new subsection (g) to read as follows: (G)(1) NOTWITHSTANDING ANY OTHER PROVISION OF THIS SECTION, NO INSURER AUTHORIZED TO DO BUSINESS IN THIS STATE SHALL INCLUDE A PROVISION IN A CONTRACT OR PARTICIPATING PROVIDER AGREEMENT WITH A DENTIST WHICH REQUIRES, DIRECTLY OR INDIRECTLY, THAT A PARTICIPATING DENTIST PROVIDE SERVICES TO AN INSURED AT A FEE SET BY, OR AT A FEE SUBJECT TO THE APPROVAL OF, THE INSURER UNLESS THE DENTAL SERVICES ARE COVERED SERVICES UNDER THE INSURED'S DENTAL PLAN. (2) FOR PURPOSES OF THIS SUBSECTION, "COVERED SERVICES" SHALL MEAN DENTAL SERVICES FOR WHICH REIMBURSEMENT IS AVAILABLE UNDER AN INSURED'S DENTAL PLAN OR FOR WHICH A REIMBURSEMENT WOULD BE AVAILABLE BUT FOR THE APPLICATION OF CONTRACTUAL LIMITATIONS SUCH AS DEDUCTIBLES, COPAYMENTS, COINSURANCE, WAITING PERIODS, ANNUAL OR LIFETIME MAXIMUMS, FREQUENCY LIMITATIONS, ALTERNATIVE BENEFIT PAYMENTS, OR ANY OTHER LIMITATION. § 2. Subsection (s) of section 4303 of the insurance law, as added by chapter 293 of the laws of 1992, is amended to read as follows: [(s)](S-1)(1) Notwithstanding any provision of a contract issued by a medical expense indemnity corporation, a dental expense indemnity corpo- ration or health service corporation, every contract which provides coverage for care provided through licensed health professionals who can bill for services shall provide the same coverage and reimbursement for EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD11752-04-4
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