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Assembly Bill A10091

2013-2014 Legislative Session

Requires health insurers to accept payments for coverage of health care from third parties

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Archive: Last Bill Status - In Senate Committee Rules Committee

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2013-A10091 (ACTIVE) - Details

See Senate Version of this Bill:
S7500
Current Committee:
Senate Rules
Law Section:
Public Health Law
Laws Affected:
Amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A1064
2017-2018: A27
2019-2020: A144
2021-2022: A1096

2013-A10091 (ACTIVE) - Summary

Requires health insurers to accept payments for coverage of health care from third parties.

2013-A10091 (ACTIVE) - Bill Text download pdf 

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

                                  10091

                          I N  A S S E M B L Y

                              June 12, 2014
                               ___________

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

AN ACT to amend the public health law and the insurance law, in relation
  to requiring health insurers to accept third party payments for cover-
  age

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

  Section  1.  Section  4406-c  of  the  public health law is amended by
adding a new subdivision 9 to read as follows:
  9. WITH REGARD TO A SUBSCRIBER CONTRACT OFFERED THROUGH THE INDIVIDUAL
MARKET, A HEALTH MAINTENANCE ORGANIZATION SHALL NOT BY  CONTRACT  OR  IN
ANY  OTHER  MANNER REFUSE TO ACCEPT PREMIUM OR ANY REQUIRED COST SHARING
PAYMENTS FROM THIRD-PARTIES IF MADE  BY  (A)  AN  INDIAN  TRIBE,  TRIBAL
ORGANIZATION, URBAN INDIAN ORGANIZATION, OR ANY STATE OR FEDERAL GOVERN-
MENT  PROGRAM  OR  GRANTEE  (SUCH AS THE RYAN WHITE HIV/AIDS PROGRAM) ON
BEHALF OF AN ENROLLEE, OR (B) A PRIVATE, NOT-FOR-PROFIT  FOUNDATION,  ON
BEHALF  OF  AN ENROLLEE WHO SATISFIES DEFINED CRITERIA THAT ARE BASED ON
FINANCIAL STATUS AND DO NOT CONSIDER  HEALTH  STATUS,  AND  THE  PAYMENT
COVERS THE ENTIRE POLICY YEAR.
  S  2.  Section  3217-b of the insurance law is amended by adding a new
subsection (k) to read as follows:
  (K) WITH REGARD TO AN INSURANCE POLICY OFFERED THROUGH THE  INDIVIDUAL
MARKET,  AN  INSURER SHALL NOT BY CONTRACT OR IN ANY OTHER MANNER REFUSE
TO ACCEPT PREMIUM OR ANY REQUIRED COST SHARING PAYMENTS FROM  THIRD-PAR-
TIES  IF  MADE BY (1) AN INDIAN TRIBE, TRIBAL ORGANIZATION, URBAN INDIAN
ORGANIZATION, OR ANY STATE OR  FEDERAL  GOVERNMENT  PROGRAM  OR  GRANTEE
(SUCH  AS  THE  RYAN WHITE HIV/AIDS PROGRAM) ON BEHALF OF AN INSURED, OR
(2) A PRIVATE, NOT-FOR-PROFIT FOUNDATION, ON BEHALF OF  AN  INSURED  WHO
SATISFIES DEFINED CRITERIA THAT ARE BASED ON FINANCIAL STATUS AND DO NOT
CONSIDER HEALTH STATUS, AND THE PAYMENT COVERS THE ENTIRE POLICY YEAR.
  S  3.  Section  4325  of  the insurance law is amended by adding a new
subsection (1) to read as follows:
  (1) WITH REGARD TO AN INSURANCE CONTRACT OFFERED THROUGH THE  INDIVID-
UAL  MARKET,  A  CORPORATION  ORGANIZED  UNDER THIS ARTICLE SHALL NOT BY

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

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