S T A T E O F N E W Y O R K
________________________________________________________________________
8119
2009-2010 Regular Sessions
I N A S S E M B L Y
May 5, 2009
___________
Introduced by M. of A. GUNTHER -- read once and referred to the Commit-
tee on Insurance
AN ACT to amend the insurance law, in relation to reimbursement for
prehospital emergency medical services
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subparagraph (C) of paragraph 24 of subsection (i) of
section 3216 of the insurance law, as added by chapter 506 of the laws
of 2001, is amended to read as follows:
(C) An insurer shall provide reimbursement for those services
prescribed by this section at rates negotiated between the insurer and
the provider of such services. In the absence of agreed upon rates, an
insurer shall pay for such services at the usual and customary charge,
which shall not be excessive or unreasonable. ANY FIRE DEPARTMENT, FIRE
DISTRICT OR AMBULANCE DISTRICT WHICH PROVIDES PREHOSPITAL EMERGENCY
MEDICAL SERVICES MAY SUBMIT REQUESTS FOR REIMBURSEMENT DIRECTLY TO AN
INSURER FOR SERVICES RENDERED IN ACCORDANCE WITH THIS PARAGRAPH.
S 2. Subparagraph (C) of paragraph 15 of subsection (l) of section
3221 of the insurance law, as added by chapter 506 of the laws of 2001,
is amended to read as follows:
(C) An insurer shall provide reimbursement for those services
prescribed by this section at rates negotiated between the insurer and
the provider of such services. In the absence of agreed upon rates, an
insurer shall pay for such services at the usual and customary charge,
which shall not be excessive or unreasonable. ANY FIRE DEPARTMENT, FIRE
DISTRICT OR AMBULANCE DISTRICT WHICH PROVIDES PREHOSPITAL EMERGENCY
MEDICAL SERVICES MAY SUBMIT REQUESTS FOR REIMBURSEMENT DIRECTLY TO AN
INSURER FOR SERVICES RENDERED IN ACCORDANCE WITH THIS PARAGRAPH.
S 3. Paragraph 3 of subsection (aa) of section 4303 of the insurance
law, as added by chapter 506 of the laws of 2001, is amended to read as
follows:
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11641-01-9
A. 8119 2
(3) An insurer shall provide reimbursement for those services
prescribed by this section at rates negotiated between the insurer and
the provider of such services. In the absence of agreed upon rates, an
insurer shall pay for such services at the usual and customary charge,
which shall not be excessive or unreasonable. ANY FIRE DEPARTMENT, FIRE
DISTRICT OR AMBULANCE DISTRICT WHICH PROVIDES PREHOSPITAL EMERGENCY
MEDICAL SERVICES MAY SUBMIT REQUESTS FOR REIMBURSEMENT DIRECTLY TO AN
INSURER FOR SERVICES RENDERED IN ACCORDANCE WITH THIS SUBSECTION.
S 4. This act shall take effect on the thirtieth day after it shall
have become a law.