senate Bill S176

2011-2012 Legislative Session

Provides that health insurance coverage may not deny reimbursements because the registered laboratory providing laboratory services has not been approved

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

do you support this legislation?

You must fill out the form below in order to support or oppose this bill. X

You must login or fill out the fields below for the senator to have an accurate account of the support or opposition to this bill.

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.
Use this box to enter a message to your senator.

Actions

view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 04, 2012 referred to insurance
Jan 05, 2011 referred to insurance

Co-Sponsors

S176 - Details

Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221, 4303, 4402, 4413 & 4301, Ins L
Versions Introduced in 2009-2010 Legislative Session:
S1053

S176 - Summary

Provides that health insurance coverage may not deny reimbursements because the registered laboratory providing laboratory services has not been approved by the insurer or other entity; provides that in such case the insured pays excess costs therefor above the covered benefit.

S176 - Sponsor Memo

S176 - Bill Text download pdf

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

                                   176

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 5, 2011
                               ___________

Introduced  by Sens. MAZIARZ, FLANAGAN, GOLDEN -- read twice and ordered
  printed, and when printed to be committed to the Committee  on  Insur-
  ance

AN  ACT  to  amend  the  insurance  law, in relation to health insurance
  coverage and eligibility for employee benefits  provided  by  employee
  welfare funds for laboratory services

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

  Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
amended by adding a new paragraph 28 to read as follows:
  (28)  NO  SUCH  POLICY  SHALL LIMIT BENEFITS OR DENY REIMBURSEMENT FOR
BENEFITS TO ANY INSURED ON THE BASIS THAT THE LABORATORY PROVIDING  SUCH
BENEFITS HAS NOT BEEN SPECIFICALLY SELECTED OR APPROVED. IF THE INSURED,
HIS  OR  HER  DEPENDENTS  OR  BOTH RECEIVE SERVICES FROM A LABORATORY OF
THEIR OWN CHOOSING, SUCH INSURED SHALL PAY THE COST OF  SUCH  LABORATORY
SERVICES  TO  THE  EXTENT  THAT  SUCH COST EXCEEDS THE BENEFITS PROVIDED
UNDER THE POLICY WITHOUT FORFEITURE OF THE BENEFITS PROVIDED UNDER  SUCH
POLICY.  NO SUCH POLICY SHALL PROHIBIT A DULY REGISTERED LABORATORY FROM
PROVIDING SERVICES, PROVIDED SUCH  LABORATORY  AGREES  TO  PROVIDE  SUCH
SERVICES  IN  ACCORDANCE  WITH  THE MINIMUM STANDARDS AND CONDITIONS FOR
SIMILAR PROVIDERS THAT HAVE BEEN ESTABLISHED BY SUCH POLICY.
  S 2. Subsection (e) of section 3221 of the insurance law is amended by
adding a new paragraph 12 to read as follows:
  (12) NO SUCH GROUP OR BLANKET POLICY  SHALL  LIMIT  BENEFITS  OR  DENY
REIMBURSEMENT  FOR BENEFITS TO ANY INSURED ON THE BASIS THAT THE LABORA-
TORY PROVIDING SUCH BENEFITS  HAS  NOT  BEEN  SPECIFICALLY  SELECTED  OR
APPROVED  BY  THE  GROUP  OR  BLANKET POLICY. IF THE INSURED, HIS OR HER
DEPENDENTS OR BOTH RECEIVE SERVICES  FROM  A  LABORATORY  OF  THEIR  OWN
CHOOSING, SUCH INSURED SHALL PAY THE COST OF SUCH LABORATORY SERVICES TO
THE  EXTENT THAT SUCH COST EXCEEDS THE BENEFITS PROVIDED UNDER THE GROUP

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

Comments

Open Legislation comments facilitate discussion of New York State legislation. All comments are subject to moderation. Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity or hate speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Comment moderation is generally performed Monday through Friday.

By contributing or voting you agree to the Terms of Participation and verify you are over 13.