Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
May 20, 2014 |
reported and committed to insurance |
May 01, 2014 |
referred to health |
Senate Bill S7166
2013-2014 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - In Senate Committee Insurance Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
co-Sponsors
(R, C, IP) Senate District
(R, IP) Senate District
(R, C) Senate District
(R, C) 7th Senate District
2013-S7166 (ACTIVE) - Details
- Current Committee:
- Senate Insurance
- Law Section:
- Public Health Law
- Laws Affected:
- Amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
- Versions Introduced in 2015-2016 Legislative Session:
-
S4789
2013-S7166 (ACTIVE) - Sponsor Memo
BILL NUMBER:S7166 TITLE OF BILL: An act to amend the public health law and the insurance law, in relation to prohibiting health care plans and health insurers from requiring any health care provider to provide services through the state health benefit exchange, unless the health care provider has agreed to participate in the in-network portion of such plan or insurance PURPOSE: To assure New York health insurance companies directly contract with physicians and other necessary health care providers to deliver care to their enrollees in Exchange products sold through the New York State of Health Marketplace. SUMMARY OF PROVISIONS: Section one of the bill would amend Public Health Law § 4406-c to require health insurance companies offering coverage through New York's Health Insurance Exchange to execute separate contracts with health care providers to provide coverage to Exchange product enrollees rather than rely upon previously-executed contracts. Sections two and three make corresponding changes to Insurance Law 3217-b and 4325, respectively.
2013-S7166 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7166 I N S E N A T E May 1, 2014 ___________ Introduced by Sens. HANNON, FARLEY, GRISANTI, LARKIN, MARTINS, RANZEN- HOFER -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law and the insurance law, in relation to prohibiting health care plans and health insurers from requiring any health care provider to provide services through the state health benefit exchange, unless the health care provider has agreed to participate in the in-network portion of such plan or insurance 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 5-e to read as follows: 5-E. NO HEALTH CARE PLAN SHALL, BY CONTRACT OR WRITTEN POLICY OR WRIT- TEN PROCEDURE, REQUIRE A HEALTH CARE PROVIDER TO PARTICIPATE IN A PROD- UCT OFFERED AS A QUALIFIED HEALTH PLAN IN A STATE HEALTH BENEFIT EXCHANGE ESTABLISHED PURSUANT TO THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT (P.L. 111-148), AS AMENDED BY THE FEDERAL HEALTH CARE AND EDUCATION RECONCILIATION ACT OF 2010 (P.L. 111-152), UNLESS THE HEALTH CARE PROVIDER AND HEALTH CARE PLAN HAVE EXECUTED A SEPARATE AGREEMENT WHEREBY THE HEALTH CARE PROVIDER AGREES TO BE A PARTICIPANT IN THE IN-NETWORK PORTION OF SUCH QUALIFIED HEALTH PLAN. S 2. Section 3217-b of the insurance law is amended by adding a new subsection (d-1) to read as follows: (D-1) NO INSURER SUBJECT TO THIS ARTICLE SHALL, BY CONTRACT OR WRITTEN POLICY OR WRITTEN PROCEDURE, REQUIRE A HEALTH CARE PROVIDER TO PARTIC- IPATE IN A PRODUCT OFFERED AS A QUALIFIED HEALTH PLAN IN A STATE HEALTH BENEFIT EXCHANGE ESTABLISHED PURSUANT TO THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT (P.L. 111-148), AS AMENDED BY THE FEDERAL HEALTH CARE AND EDUCATION RECONCILIATION ACT OF 2010 (P.L. 111-152), UNLESS THE HEALTH CARE PROVIDER AND INSURER HAVE EXECUTED A SEPARATE AGREEMENT WHEREBY THE HEALTH CARE PROVIDER AGREES TO BE A PARTICIPANT IN THE IN-NETWORK PORTION OF SUCH QUALIFIED HEALTH PLAN. S 3. Section 4325 of the insurance law is amended by adding a new subsection (d-1) to read as follows: EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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