assembly Bill A187A

2011-2012 Legislative Session

No policy of group accident, group health or group accident and health shall impose copayments in excess of 20 percent of total reimbursement to the provider of care

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Archive: Last Bill Status - In Assembly Committee


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

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Actions

view actions (4)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 06, 2012 print number 187a
Jan 06, 2012 amend and recommit to insurance
Jan 04, 2012 referred to insurance
Jan 05, 2011 referred to insurance

Co-Sponsors

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Multi-Sponsors

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A187 - Details

See Senate Version of this Bill:
S4870A
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 4235, 4301 & 4322, Ins L
Versions Introduced in 2009-2010 Legislative Session:
A8171A, S4321A

A187 - Summary

Provides that no policy of group accident, group health or group accident and health shall impose co-payments in excess of twenty percent of total reimbursement to the provider of care.

A187 - Bill Text download pdf

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

                                   187

                       2011-2012 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 5, 2011
                               ___________

Introduced  by  M.  of  A.  CAHILL, BENEDETTO, PERRY, CAMARA, SCHROEDER,
  WEISENBERG, GABRYSZAK, SCHIMEL, JAFFEE, GUNTHER, LIFTON,  ENGLEBRIGHT,
  GALEF,  SPANO -- Multi-Sponsored by -- M. of A. BOYLE, COLTON, CORWIN,
  CUSICK, CYMBROWITZ, HAWLEY, HEVESI, LATIMER, LAVINE, LENTOL,  LUPARDO,
  MARKEY,  McENENY,  PAULIN,  PHEFFER,  PRETLOW, RAIA, SAYWARD, SWEENEY,
  ZEBROWSKI -- read once and referred to the Committee on Insurance

AN ACT to amend the insurance  law,  in  relation  to  physical  therapy
  services

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

  Section 1. Paragraph 23 of subsection  (i)  of  section  3216  of  the
insurance  law,  as added by chapter 593 of the laws of 2000, is amended
to read as follows:
  (23) If a policy provides for reimbursement for physical  and  occupa-
tional therapy service which is within the lawful scope of practice of a
duly  licensed  physical  or occupational therapist, an insured shall be
entitled to reimbursement for such service whether the said  service  is
performed  by a physician or through a duly licensed physical or occupa-
tional therapist, provided however, that nothing contained herein  shall
be  construed  to  impair any terms of such policy including appropriate
utilization review and the requirement that said  service  be  performed
pursuant to a medical order, or a similar or related service of a physi-
cian  PROVIDED THAT SUCH TERMS SHALL NOT IMPOSE CO-PAYMENTS IN EXCESS OF
TWENTY PERCENT OF THE TOTAL REIMBURSEMENT TO THE PROVIDER OF CARE.
  S 2. Subparagraph (A) of paragraph 1 of subsection (f) of section 4235
of the insurance law, as amended by chapter 240 of the laws of 2009,  is
amended to read as follows:
  (A)  Any  policy of group accident, group health or group accident and
health insurance may include provisions for the payment by  the  insurer
of  benefits  for  expenses  incurred on account of hospital, medical or

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

Co-Sponsors

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Multi-Sponsors

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A187A (ACTIVE) - Details

See Senate Version of this Bill:
S4870A
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 4235, 4301 & 4322, Ins L
Versions Introduced in 2009-2010 Legislative Session:
A8171A, S4321A

A187A (ACTIVE) - Summary

Provides that no policy of group accident, group health or group accident and health shall impose co-payments in excess of twenty percent of total reimbursement to the provider of care.

A187A (ACTIVE) - Bill Text download pdf

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

                                 187--A

                       2011-2012 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 5, 2011
                               ___________

Introduced  by  M.  of  A. CAHILL, BENEDETTO, PERRY, CAMARA, WEISENBERG,
  GABRYSZAK,  SCHIMEL,  JAFFEE,  GUNTHER,  LIFTON,  ENGLEBRIGHT,  GALEF,
  RAMOS,  CYMBROWITZ,  KELLNER,  P. RIVERA, SCARBOROUGH, RUSSELL, ROSEN-
  THAL, REILLY, BOYLAND, WEPRIN, KAVANAGH, BARRON -- Multi-Sponsored  by
  --  M.  of A. ABBATE, ABINANTI, BOYLE, BRENNAN, BROOK-KRASNY, BURLING,
  CERETTO, COLTON, CORWIN,  CUSICK,  HAWLEY,  HEVESI,  JACOBS,  LATIMER,
  LAVINE,  LENTOL, LUPARDO, MARKEY, McDONOUGH, McENENY, PAULIN, PRETLOW,
  RAIA, SAYWARD, SWEENEY, ZEBROWSKI -- read once  and  referred  to  the
  Committee on Insurance -- recommitted to the Committee on Insurance in
  accordance  with Assembly Rule 3, sec. 2 -- committee discharged, bill
  amended, ordered reprinted as amended and recommitted to said  commit-
  tee

AN  ACT  to  amend  the  insurance  law, in relation to physical therapy
  services

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

  Section  1.  Paragraph  23  of  subsection  (i) of section 3216 of the
insurance law, as added by chapter 593 of the laws of 2000,  is  amended
to read as follows:
  (23)  If  a policy provides for reimbursement for physical and occupa-
tional therapy service which is within the lawful scope of practice of a
duly licensed physical or occupational therapist, an  insured  shall  be
entitled  to  reimbursement for such service whether the said service is
performed by a physician or through a duly licensed physical or  occupa-
tional  therapist, provided however, that nothing contained herein shall
be construed to impair any terms of such  policy  including  appropriate
utilization  review  and  the requirement that said service be performed
pursuant to a medical order, or a similar or related service of a physi-
cian PROVIDED THAT SUCH TERMS SHALL NOT IMPOSE CO-PAYMENTS IN EXCESS  OF
TWENTY PERCENT OF THE TOTAL REIMBURSEMENT TO THE PROVIDER OF CARE.

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

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