Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
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Jan 06, 2010 |
referred to insurance |
May 13, 2009 |
referred to insurance |
Senate Bill S5507
2009-2010 Legislative Session
Sponsored By
(D) Senate District
Archive: Last Bill Status - In Senate Committee Insurance 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
Actions
co-Sponsors
(D, WF) Senate District
(D) Senate District
(D) Senate District
(D, WF) Senate District
2009-S5507 (ACTIVE) - Details
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3217-a & 4324, Ins L; amd §4408, Pub Health L
2009-S5507 (ACTIVE) - Sponsor Memo
BILL NUMBER: S5507 TITLE OF BILL : An act to amend the insurance law and the public health law, in relation to the display of participating physicians on an insurance provider's website PURPOSE OR GENERAL IDEA OF BILL : This bill amends the Insurance Law and the Public Health Law as they relate to the posting of the names of participating physicians on insurance providers' websites by requiring that insurance providers remove any non-participating physician's name from their websites within thirty (30) days from the date the physician no longer participates with the provider's insurance plan. The bill makes any insurance provider who fails to comply with the provisions of this legislation liable for the out-of-network cost of any services provided by the physician to patients. SUMMARY OF SPECIFIC PROVISIONS : Section one amends Paragraph 17 of subsection (a) of Section 3217-a of the Insurance Law by requiring that where an insurer elects to post information on its website regarding participating health care
2009-S5507 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5507 2009-2010 Regular Sessions I N S E N A T E May 13, 2009 ___________ Introduced by Sen. KLEIN -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance AN ACT to amend the insurance law and the public health law, in relation to the display of participating physicians on an insurance provider's website THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph 17 of subsection (a) of section 3217-a of the insurance law, as added by chapter 705 of the laws of 1996, is amended to read as follows: (17) where applicable, a listing by specialty, which may be in a sepa- rate document that is updated annually, of the name, address, and tele- phone number of all participating providers, including facilities, and in addition, in the case of physicians, board certification, PROVIDED, HOWEVER, THAT AN INSURER WHICH ELECTS TO POST SUCH INFORMATION ELECTRON- ICALLY ON ITS WEBSITE SHALL: (A) REMOVE ANY NON-PARTICIPATING PROVIDER FROM ITS LIST WITHIN THIRTY CALENDAR DAYS FROM THE DATE WHEN: (I) THE PROVIDER HAS NOTIFIED THE INSURER, IN WRITING, IT WILL NO LONGER PARTICIPATE WITH THE INSURER; OR (II) THE CONTRACTUAL AGREEMENT BETWEEN THE INSURER AND PROVIDER CEASES TO BE IN EFFECT; AND (B) INCLUDE A PROVISION IN CONTRACTS WITH PARTICIPATING PROVIDERS UNDER WHICH THE INSURER, WHEN IT FAILS TO REMOVE A NON-PARTICIPATING PROVIDER FROM ITS WEBSITE WITHIN SUCH THIRTY DAY PERIOD, SHALL BE LIABLE FOR OUT-OF-NETWORK RATES FOR SERVICES RENDERED BY A NON-PARTICIPATING PROVIDER TO AN INSURED FROM THE DATE SUCH NON-PARTICIPATING PROVIDER SHOULD HAVE BEEN REMOVED TO THE DATE THAT SUCH NON-PARTICIPATING PROVID- ER IS REMOVED. SUCH CONTRACT PROVISION SHALL ALSO PROVIDE THAT SUCH PAYMENT AMOUNT SHALL NOT BE REDUCED BY ANY APPLICABLE CO-PAYMENT OR DEDUCTIBLE AND SHALL INCLUDE EXPRESS PROVISIONS INDICATING THAT THE PROVIDER SHALL HOLD INSUREDS HARMLESS FROM LIABILITY AND SHALL NOT BILL EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03277-01-9
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