senate Bill S7745

2011-2012 Legislative Session

Establishes protections to prevent surprise medical bills

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Archive: Last Bill Status - Passed Senate


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

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 20, 2012 referred to insurance
delivered to assembly
passed senate
ordered to third reading cal.1424
Jun 17, 2012 referred to rules

Votes

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Co-Sponsors

S7745 - Details

Current Committee:
Law Section:
Insurance Law
Laws Affected:
Amd Ins L, generally; add §§23 & 24, amd §§4408, 4900, 4903, 4904, 4910 & 4914, Pub Health L; add Art 7 §§701 - 704, Fin Serv L

S7745 - Summary

Establishes protections to prevent surprise medical bills including network adequacy requirements, claim submission requirements, adequacy of and access to out-of-network care and prohibition of excessive emergency charges.

S7745 - Sponsor Memo

S7745 - Bill Text download pdf

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

                                  7745

                            I N  S E N A T E

                              June 17, 2012
                               ___________

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

AN ACT to amend the insurance law, the public health law and the  finan-
  cial  services law, in relation to establishing protections to prevent
  surprise medical bills including network adequacy requirements,  claim
  submission requirements, adequacy of and access to out-of-network care
  and  prohibition of excessive emergency charges; and providing for the
  repeal of certain provisions upon expiration thereof

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

  Section  1.  Paragraphs 11, 12, 13, 14, 16 and 17 of subsection (a) of
section 3217-a of the insurance law, as added by chapter 705 of the laws
of 1996, are amended and three new paragraphs 16-a, 18 and 19 are  added
to read as follows:
  (11)  where  applicable,  notice that an insured enrolled in a managed
care product OR A  COMPREHENSIVE  POLICY  THAT  UTILIZES  A  NETWORK  OF
PROVIDERS  offered by the insurer may obtain a referral to a health care
provider outside of the insurer's network or panel when the insurer does
not have a health care provider with appropriate training and experience
in the network or panel to meet the particular health care needs of  the
insured and the procedure by which the insured can obtain such referral;
  (12)  where  applicable,  notice that an insured enrolled in a managed
care product OR A  COMPREHENSIVE  POLICY  THAT  UTILIZES  A  NETWORK  OF
PROVIDERS offered by the insurer with a condition which requires ongoing
care  from  a  specialist  may  request  a  standing  referral to such a
specialist and the procedure for requesting and obtaining such a  stand-
ing referral;
  (13)    where applicable, notice that an insured enrolled in a managed
care product OR A  COMPREHENSIVE  POLICY  THAT  UTILIZES  A  NETWORK  OF
PROVIDERS  offered  by the insurer with (i) a life-threatening condition
or disease, or (ii) a degenerative and disabling condition  or  disease,
either of which requires specialized medical care over a prolonged peri-
od of time may request a specialist responsible for providing or coordi-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD16282-02-2

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