Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Mar 27, 2014 |
referred to health delivered to senate passed assembly |
Jan 08, 2014 |
ordered to third reading cal.203 returned to assembly died in senate |
Apr 17, 2013 |
referred to health delivered to senate passed assembly |
Mar 06, 2013 |
amended on third reading 4466a |
Feb 21, 2013 |
advanced to third reading cal.49 |
Feb 12, 2013 |
reported |
Feb 05, 2013 |
referred to health |
Assembly Bill A4466A
2013-2014 Legislative Session
Sponsored By
GOTTFRIED
Archive: Last Bill Status - In Senate Committee Health 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
Bill Amendments
co-Sponsors
Jeffrey Dinowitz
Steven Englebright
Sandy Galef
Amy Paulin
multi-Sponsors
Jeffrion Aubry
James F. Brennan
William Colton
Vivian Cook
2013-A4466 - Details
2013-A4466 - Summary
Relates to certain prohibitions in contracts or agreements by health maintenance organizations; prohibits clauses which entitle reimbursement at the lowest price or rate; prohibits contracts which restrict referral of patients based solely upon a health care provider's status with a managed care product; prohibits disclosure of an enrollee's diagnosis on a prescription as a condition for authorizing coverage for payment or dispensing of a prescription
2013-A4466 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4466 2013-2014 Regular Sessions I N A S S E M B L Y February 5, 2013 ___________ Introduced by M. of A. GOTTFRIED, DINOWITZ, ENGLEBRIGHT, GALEF, PAULIN, CUSICK, KAVANAGH, ROSENTHAL -- Multi-Sponsored by -- M. of A. AUBRY, BRENNAN, COLTON, COOK, CYMBROWITZ, GLICK, GUNTHER, HEASTIE, HOOPER, JACOBS, KELLNER, LIFTON, PERRY, RIVERA, ROBINSON, SCARBOROUGH, SWEE- NEY, WEISENBERG -- read once and referred to the Committee on Health AN ACT to amend the public health law and the insurance law, in relation to certain contracts or agreements by health maintenance organizations THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 7 of section 4406-c of the public health law as added by chapter 705 of the laws of 1996 and as renumbered by chapter 487 of the laws of 2010, is renumbered subdivision 13 and four new subdivisions 9, 10, 11 and 12 are added to read as follows: 9. NO CONTRACT OR AGREEMENT BETWEEN A HEALTH CARE PLAN AND A HEALTH CARE PROVIDER SHALL CONTAIN ANY CLAUSE WHICH ENTITLES SUCH HEALTH CARE PLAN TO REIMBURSE THE HEALTH CARE PROVIDER AT THE LOWEST PRICE OR RATE THAT SUCH HEALTH CARE PROVIDER HAS CHARGED ANOTHER PERSON OR ENTITY FOR RENDERING THE SAME TREATMENT OR PERFORMING THE SAME PROCEDURE. 10. NO HEALTH CARE PLAN SHALL BY CONTRACT, WRITTEN POLICY OR WRITTEN PROCEDURE PROHIBIT OR RESTRICT ANY HEALTH CARE PROVIDER FROM REFERRING A PATIENT OR ENROLLEE TO A HEALTH CARE PROVIDER BASED SOLELY UPON SUCH HEALTH CARE PROVIDER'S PARTICIPATION STATUS WITH THE MANAGED CARE PROD- UCT SUBSCRIBED TO BY THE PATIENT OR ENROLLEE. 11. NO HEALTH CARE PLAN SHALL BY CONTRACT, WRITTEN POLICY OR WRITTEN PROCEDURE REQUIRE THE DISCLOSURE OF AN ENROLLEE'S DIAGNOSIS ON A PRESCRIPTION AS A CONDITION FOR DISPENSING OF A PHARMACEUTICAL DRUG OR AGENT, UNLESS OTHERWISE REQUIRED BY LAW. 12. NO HEALTH CARE PLAN SHALL BY CONTRACT, WRITTEN POLICY OR PROCEDURE PROVIDE FOR OR ALLOW THE SUBSTITUTION OF A PHARMACEUTICAL DRUG OR AGENT (OTHER THAN A GENERIC SUBSTITUTION) BY ANY PERSON OTHER THAN THE PRESCRIBING HEALTH CARE PROFESSIONAL. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04070-01-3
co-Sponsors
Jeffrey Dinowitz
Steven Englebright
Sandy Galef
Amy Paulin
multi-Sponsors
Jeffrion Aubry
James F. Brennan
William Colton
Vivian Cook
2013-A4466A (ACTIVE) - Details
2013-A4466A (ACTIVE) - Summary
Relates to certain prohibitions in contracts or agreements by health maintenance organizations; prohibits clauses which entitle reimbursement at the lowest price or rate; prohibits contracts which restrict referral of patients based solely upon a health care provider's status with a managed care product; prohibits disclosure of an enrollee's diagnosis on a prescription as a condition for authorizing coverage for payment or dispensing of a prescription
2013-A4466A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4466--A Cal. No. 49 2013-2014 Regular Sessions I N A S S E M B L Y February 5, 2013 ___________ Introduced by M. of A. GOTTFRIED, DINOWITZ, ENGLEBRIGHT, GALEF, PAULIN, CUSICK, KAVANAGH, ROSENTHAL, TITONE -- Multi-Sponsored by -- M. of A. AUBRY, BRENNAN, COLTON, COOK, CYMBROWITZ, GLICK, GUNTHER, HEASTIE, HOOPER, JACOBS, KELLNER, LIFTON, PERRY, RIVERA, ROBINSON, SCARBOROUGH, SWEENEY, WEISENBERG -- read once and referred to the Committee on Health -- reported from committee, advanced to a third reading, amended and ordered reprinted, retaining its place on the order of third reading AN ACT to amend the public health law and the insurance law, in relation to certain contracts or agreements by health maintenance organizations THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 7 of section 4406-c of the public health law as added by chapter 705 of the laws of 1996 and as renumbered by chapter 487 of the laws of 2010, is renumbered subdivision 13 and four new subdivisions 9, 10, 11 and 12 are added to read as follows: 9. NO CONTRACT OR AGREEMENT BETWEEN A HEALTH CARE PLAN AND A HEALTH CARE PROVIDER SHALL CONTAIN ANY CLAUSE WHICH ENTITLES SUCH HEALTH CARE PLAN TO REIMBURSE THE HEALTH CARE PROVIDER AT THE LOWEST PRICE OR RATE THAT SUCH HEALTH CARE PROVIDER HAS CHARGED ANOTHER PERSON OR ENTITY FOR RENDERING THE SAME TREATMENT OR PERFORMING THE SAME PROCEDURE. 10. NO HEALTH CARE PLAN SHALL BY CONTRACT, WRITTEN POLICY OR WRITTEN PROCEDURE PROHIBIT ANY HEALTH CARE PROVIDER FROM REFERRING A PATIENT OR ENROLLEE TO A HEALTH CARE PROVIDER BASED SOLELY UPON SUCH HEALTH CARE PROVIDER'S PARTICIPATION STATUS WITH THE MANAGED CARE PRODUCT SUBSCRIBED TO BY THE PATIENT OR ENROLLEE. 11. NO HEALTH CARE PLAN SHALL BY CONTRACT, WRITTEN POLICY OR WRITTEN PROCEDURE REQUIRE THE DISCLOSURE OF AN ENROLLEE'S DIAGNOSIS ON A PRESCRIPTION AS A CONDITION FOR DISPENSING OF A PHARMACEUTICAL DRUG OR AGENT, UNLESS OTHERWISE REQUIRED BY LAW. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04070-02-3
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