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Assembly Bill A10670

2011-2012 Legislative Session

Relates to the determination of overpayment recovery amounts for health care providers

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Archive: Last Bill Status - In Assembly Committee

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2011-A10670 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยง3224-b, Ins L
Versions Introduced in Other Legislative Sessions:
2013-2014: A3088
2015-2016: A1193
2017-2018: A7920
2019-2020: A2842

2011-A10670 (ACTIVE) - Summary

Provides that a health plan shall not determine an overpayment recovery amount against a health care provider through the use of extrapolation, except where there is evidence of fraud or intentional misconduct.

2011-A10670 (ACTIVE) - Bill Text download pdf 

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

                                  10670

                          I N  A S S E M B L Y

                              June 13, 2012
                               ___________

Introduced  by  COMMITTEE ON RULES -- (at request of M. of A. Lavine) --
  read once and referred to the Committee on Insurance

AN ACT to amend the insurance law, in relation to recoveries of overpay-
  ments to health care providers

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

  Section  1.  Paragraphs 4 and 5 of subsection (b) of section 3224-b of
the insurance law are renumbered paragraphs 5 and 6 and a new  paragraph
4 is added to read as follows:
  (4)  A  HEALTH PLAN SHALL NOT DETERMINE AN OVERPAYMENT RECOVERY AMOUNT
THROUGH THE USE OF EXTRAPOLATION, EXCEPT  WHERE  THERE  IS  EVIDENCE  OF
FRAUD OR INTENTIONAL MISCONDUCT.
  S 2. This act shall take effect immediately.








 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD16132-01-2

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