Assembly Bill A9002

2009-2010 Legislative Session

Relates to rates of payment for hospital and health-related services by health maintenance organizations

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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-A9002 (ACTIVE) - Details

Current Committee:
Assembly Health
Law Section:
Insurance Law
Laws Affected:
Amd §§2807, 2807-f & 4406, Pub Health L; amd §4306, Ins L

2009-A9002 (ACTIVE) - Summary

Relates to rates of payment for hospital and health-related services by health maintenance organizations; provides that HMO's shall provide reimbursement for hospital and health-related services rendered at a rate no less than current Medicare reimbursement rates for hospital and health-related services.

2009-A9002 (ACTIVE) - Sponsor Memo

2009-A9002 (ACTIVE) - Bill Text download pdf 

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

                                  9002

                       2009-2010 Regular Sessions

                          I N  A S S E M B L Y

                              June 18, 2009
                               ___________

Introduced by M. of A. ALESSI -- read once and referred to the Committee
  on Health

AN ACT to amend the public health law and the insurance law, in relation
  to rates of payment for hospital and health-related services by health
  maintenance organizations

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

  Section 1. Subdivision 2 of section 2807 of the public health  law  is
amended by adding a new paragraph (i) to read as follows:
  (I)  NOTWITHSTANDING  ANY INCONSISTENT PROVISION OF LAW OR ESTABLISHED
RATES OF PAYMENT, RATES OF  PAYMENTS  FOR  HOSPITAL  AND  HEALTH-RELATED
SERVICES  BY CORPORATIONS ORGANIZED AND OPERATING IN ACCORDANCE WITH THE
PROVISIONS OF ARTICLE FORTY-FOUR OF THIS CHAPTER OR ARTICLE  FORTY-THREE
OF  THE  INSURANCE LAW SHALL BE NO LESS THAN CURRENT MEDICARE REIMBURSE-
MENT RATES FOR HOSPITAL AND HEALTH-RELATED SERVICES.
  S 2. Section 2807-f of the public health law is amended  by  adding  a
new subdivision 8 to read as follows:
  8.  NOTWITHSTANDING  ANY  INCONSISTENT PROVISION OF LAW OR ESTABLISHED
RATES OF PAYMENT, RATES OF  PAYMENTS  FOR  HOSPITAL  AND  HEALTH-RELATED
SERVICES  BY CORPORATIONS ORGANIZED AND OPERATING IN ACCORDANCE WITH THE
PROVISIONS OF ARTICLE FORTY-FOUR OF THIS CHAPTER OR ARTICLE  FORTY-THREE
OF  THE  INSURANCE LAW SHALL BE NO LESS THAN CURRENT MEDICARE REIMBURSE-
MENT RATES FOR HOSPITAL AND HEALTH-RELATED SERVICES.
  S 3. Section 4406 of the public health law is amended by adding a  new
subdivision 5 to read as follows:
  5.  ALL  CONTRACTS  BETWEEN  A  HEALTH MAINTENANCE ORGANIZATION AND AN
ENROLLEE SHALL PROVIDE REIMBURSEMENT  FOR  HOSPITAL  AND  HEALTH-RELATED
SERVICES  RENDERED AT A RATE NO LESS THAN CURRENT MEDICARE REIMBURSEMENT
RATES FOR HOSPITAL AND HEALTH-RELATED SERVICES.
  S 4. Section 4306 of the insurance law is  amended  by  adding  a  new
closing paragraph to read as follows:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD14428-01-9

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