Assembly Bill A8592

2009-2010 Legislative Session

Requires health insurance companies to provide health care providers with list of services that require preauthorization from the health insurance company

download bill text pdf

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Archive: Last Bill Status - In Assembly 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

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2009-A8592 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Add §§4242 & 4905-a, Ins L; add §4905-a, Pub Health L
Versions Introduced in Other Legislative Sessions:
2011-2012: A199
2013-2014: A3520
2015-2016: A263, A9051
2017-2018: A1938
2019-2020: A1187
2021-2022: A5629
2023-2024: A842

2009-A8592 (ACTIVE) - Summary

Requires health insurance companies to provide participating health care providers with a list of health care treatments and services that require preauthorization from the health insurance company.

2009-A8592 (ACTIVE) - Sponsor Memo

2009-A8592 (ACTIVE) - Bill Text download pdf 

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

                                  8592

                       2009-2010 Regular Sessions

                          I N  A S S E M B L Y

                              May 29, 2009
                               ___________

Introduced  by M. of A. LANCMAN -- read once and referred to the Commit-
  tee on Insurance

AN ACT to amend the insurance  law,  in  relation  to  requiring  health
  insurance  companies  to  provide  participating health care providers
  with a list of health care treatments and services that require preau-
  thorization from the health insurance company; and to amend the public
  health law, in relation to pre-authorized services

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

  Section  1.  The insurance law is amended by adding a new section 4242
to read as follows:
  S 4242. HEALTH INSURANCE COMPANIES; PREAUTHORIZATION FOR  HEALTH  CARE
SERVICES.  EVERY  HEALTH  CARE  INSURANCE  COMPANY  SHALL BE REQUIRED TO
PROVIDE PARTICIPATING PHYSICIANS AND HEALTH CARE PROVIDERS,  AS  DEFINED
IN SUBDIVISION SEVEN OF SECTION TWENTY-NINE HUNDRED EIGHTY OF THE PUBLIC
HEALTH LAW, WITH AN UPDATED  LIST OF HEALTH CARE TREATMENTS AND SERVICES
THAT REQUIRE PREAUTHORIZATION FROM SUCH HEALTH CARE INSURANCE COMPANY.
  S  2.  The public health law is amended by adding a new section 4905-a
to read as follows:
  S 4905-A. PRE-AUTHORIZED SERVICES. EVERY HEALTH  CARE  PLAN  SHALL  BE
REQUIRED TO DEVELOP AND PROVIDE TO PARTICIPATING HEALTH CARE PROVIDERS A
LIST  OF  HEALTH  CARE SERVICES THAT REQUIRE PRE-AUTHORIZATION FROM SUCH
HEALTH CARE PLAN. SUCH LIST SHALL BE DEVELOPED BASED  UPON  CONSULTATION
WITH  MEDICAL  GUIDELINES  DEVELOPED  BY  THE RELEVANT MEDICAL SPECIALTY
ORGANIZATION AND IN CONSULTATION WITH APPROPRIATELY  TRAINED  PHYSICIANS
PRACTICING  WITHIN  THE  REGION  THE  HEALTH CARE PLAN SERVES. SUCH LIST
SHALL BE UPDATED ANNUALLY OR MORE FREQUENTLY AS APPROPRIATE. ONLY  THOSE
HEALTH  CARE  SERVICES WHICH ARE CONTAINED ON SUCH LIST SHALL BE SUBJECT
TO PRE-AUTHORIZATION BY THE HEALTH CARE PLAN.
  S 3. The insurance law is amended by adding a new  section  4905-a  to
read as follows:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD04661-04-9

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