assembly Bill A3719

2009-2010 Legislative Session

Facilitates payment of claims by health insurers to municipalities for early intervention services

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Assembly Committee


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

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Actions

view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 06, 2010 referred to insurance
Jan 28, 2009 referred to insurance

A3719 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยง3235-a, Ins L
Versions Introduced in 2011-2012 Legislative Session:
A384

A3719 (ACTIVE) - Summary

Facilitates payment of claims by health insurers to municipalities for early intervention services; deems certification of the individualized family services plan by the early intervention official to meet any precertification, preauthorization, and medical necessity requirements imposed on benefits under the policy; prohibits an insurer from denying any payment of an early intervention claim based certain factors.

A3719 (ACTIVE) - Bill Text download pdf

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

                                  3719

                       2009-2010 Regular Sessions

                          I N  A S S E M B L Y

                            January 28, 2009
                               ___________

Introduced  by M. of A. PAULIN, BRODSKY, CAHILL, GALEF, PRETLOW, JAFFEE,
  LATIMER, PHEFFER -- Multi-Sponsored by -- M. of A.  BOYLAND,  BRENNAN,
  DIAZ,  HOOPER,  JOHN,  KOON,  McENENY, ORTIZ, J. RIVERA, WEISENBERG --
  read once and referred to the Committee on Insurance

AN ACT to amend the insurance law, in  relation  to  coverage  of  early
  intervention services

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

  Section 1. Section 3235-a of the insurance law, as added by section  3
of  part  C  of  chapter  1  of  the laws of 2002, is amended to read as
follows:
  S 3235-a. Payment for early intervention services. (a)  No  policy  of
accident  and  health  insurance, including contracts issued pursuant to
article forty-three of this chapter, shall exclude coverage  for  other-
wise  covered services [solely on the basis that the services constitute
early intervention program services] THAT ARE PROVIDED under title two-A
of article twenty-five of the public health law.
  (b) Where a policy of  accident  and  health  insurance,  including  a
contract  issued  pursuant  to  article  forty-three  of  this  chapter,
provides coverage for an early intervention program service, such cover-
age shall not be applied against any maximum annual or lifetime monetary
limits set forth in such policy or contract. Visit limitations and other
terms and conditions of the policy  will  continue  to  apply  to  early
intervention  services.  However, any visits used for early intervention
program services shall not reduce the number of visits otherwise  avail-
able under the policy or contract for such services.
  (c) Any right of subrogation to benefits which a municipality is enti-
tled  in  accordance  with paragraph (d) of subdivision three of section
twenty-five hundred fifty-nine of the public health law shall  be  valid
and  enforceable to the extent benefits are available under any accident
and health insurance policy. The right of subrogation does not attach to

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01427-03-9

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