Senate Bill S4657

2009-2010 Legislative Session

Relates to insurance reimbursement for early intervention services for infants and toddlers with disabilities

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Archive: Last Bill Status - In Senate Committee Health 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-S4657 (ACTIVE) - Details

See Assembly Version of this Bill:
A8373
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §2559, Pub Health L; amd §3235-a, Ins L
Versions Introduced in Other Legislative Sessions:
2011-2012: A4898
2013-2014: A2783
2015-2016: A5420
2017-2018: A4684

2009-S4657 (ACTIVE) - Summary

Relates to insurance reimbursement for early intervention services for infants and toddlers with disabilities; provides that insurers and health plans shall not deny claims for such services due to lack of prior approval or out of network providers where such services are furnished pursuant to an early intervention individual family service plan.

2009-S4657 (ACTIVE) - Sponsor Memo

2009-S4657 (ACTIVE) - Bill Text download pdf 

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

                                  4657

                       2009-2010 Regular Sessions

                            I N  S E N A T E

                             April 27, 2009
                               ___________

Introduced  by  Sen.  FOLEY  -- read twice and ordered printed, and when
  printed to be committed to the Committee on Health

AN ACT to amend the public health law and the insurance law, in relation
  to insurance reimbursement for early intervention services for infants
  and toddlers with disabilities

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

  Section  1.  Subdivision 3 of section 2559 of the public health law is
amended by adding a new paragraph (e) to read as follows:
  (E) AN INSURER OR HEALTH PLAN ADMINISTRATOR  SHALL  ACCEPT  THE  EARLY
INTERVENTION  INDIVIDUAL FAMILY SERVICE PLAN AS DOCUMENTATION OF PRE-AU-
THORIZATION AND PRIOR APPROVAL FOR SUCH SERVICES TO AN  ELIGIBLE  CHILD.
ALL  SUCH  SERVICES  SHALL BE CONSIDERED "COVERED SERVICES". A QUALIFIED
PROVIDER OF EARLY INTERVENTION SERVICES, AS  DEFINED  IN  THIS  ARTICLE,
SHALL  NOT  BE  CONSIDERED  AN  OUT-OF-NETWORK  PROVIDER FOR PURPOSES OF
COVERAGE UNDER AN INSURANCE POLICY OR HEALTH INSURANCE PLAN.
  S 2. Section 3235-a of the insurance law is amended by  adding  a  new
subsection (e) to read as follows:
  (E)  NO  INSURER, INCLUDING A HEALTH MAINTENANCE ORGANIZATION ISSUED A
CERTIFICATE OF AUTHORITY UNDER ARTICLE FORTY-FOUR OF THE  PUBLIC  HEALTH
LAW  AND A CORPORATION ORGANIZED UNDER ARTICLE FORTY-THREE OF THIS CHAP-
TER, SHALL REFUSE TO ACCEPT THE  EARLY  INTERVENTION  INDIVIDUAL  FAMILY
SERVICE  PLAN  AS  DOCUMENTATION OF PRE-AUTHORIZATION AND PRIOR APPROVAL
FOR SUCH SERVICES TO AN ELIGIBLE  CHILD.  ALL  SUCH  SERVICES  SHALL  BE
CONSIDERED  "COVERED  SERVICES".  A  QUALIFIED  PROVIDER OF EARLY INTER-
VENTION SERVICES, AS DEFINED IN THIS ARTICLE, SHALL NOT BE CONSIDERED AN
OUT-OF-NETWORK PROVIDER FOR PURPOSES  OF  COVERAGE  UNDER  AN  INSURANCE
POLICY OR HEALTH INSURANCE PLAN.
  S 3. This act shall take effect immediately.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD11418-01-9

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