senate Bill S1106

2013-2014 Legislative Session

Provides that health insurance coverage may not deny reimbursements because the registered laboratory providing laboratory services has not been approved

download bill text pdf

Sponsored By

Archive: Last Bill Status -


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

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Actions

view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to insurance
Jan 09, 2013 referred to insurance

S1106 - Details

Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221, 4303, 4402, 4413 & 4301, Ins L
Versions Introduced in Previous Legislative Sessions:
2011-2012: S176
2009-2010: S1053

S1106 - Summary

Provides that health insurance coverage may not deny reimbursements because the registered laboratory providing laboratory services has not been approved by the insurer or other entity; provides that in such case the insured pays excess costs therefor above the covered benefit.

S1106 - Sponsor Memo

S1106 - Bill Text download pdf

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

                                  1106

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 9, 2013
                               ___________

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

AN ACT to amend the insurance  law,  in  relation  to  health  insurance
  coverage  and  eligibility  for employee benefits provided by employee
  welfare funds for laboratory services

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

  Section  1.  Subsection  (i)  of  section 3216 of the insurance law is
amended by adding a new paragraph 30 to read as follows:
  (30) NO SUCH POLICY SHALL LIMIT BENEFITS  OR  DENY  REIMBURSEMENT  FOR
BENEFITS  TO ANY INSURED ON THE BASIS THAT THE LABORATORY PROVIDING SUCH
BENEFITS HAS NOT BEEN SPECIFICALLY SELECTED OR APPROVED. IF THE INSURED,
HIS OR HER DEPENDENTS OR BOTH RECEIVE  SERVICES  FROM  A  LABORATORY  OF
THEIR  OWN  CHOOSING, SUCH INSURED SHALL PAY THE COST OF SUCH LABORATORY
SERVICES TO THE EXTENT THAT SUCH  COST  EXCEEDS  THE  BENEFITS  PROVIDED
UNDER  THE POLICY WITHOUT FORFEITURE OF THE BENEFITS PROVIDED UNDER SUCH
POLICY. NO SUCH POLICY SHALL PROHIBIT A DULY REGISTERED LABORATORY  FROM
PROVIDING  SERVICES,  PROVIDED  SUCH  LABORATORY  AGREES TO PROVIDE SUCH
SERVICES IN ACCORDANCE WITH THE MINIMUM  STANDARDS  AND  CONDITIONS  FOR
SIMILAR PROVIDERS THAT HAVE BEEN ESTABLISHED BY SUCH POLICY.
  S 2. Subsection (e) of section 3221 of the insurance law is amended by
adding a new paragraph 13 to read as follows:
  (13)  NO  SUCH  GROUP  OR  BLANKET POLICY SHALL LIMIT BENEFITS OR DENY
REIMBURSEMENT FOR BENEFITS TO ANY INSURED ON THE BASIS THAT THE  LABORA-
TORY  PROVIDING  SUCH  BENEFITS  HAS  NOT  BEEN SPECIFICALLY SELECTED OR
APPROVED BY THE GROUP OR BLANKET POLICY. IF  THE  INSURED,  HIS  OR  HER
DEPENDENTS  OR  BOTH  RECEIVE  SERVICES  FROM  A LABORATORY OF THEIR OWN
CHOOSING, SUCH INSURED SHALL PAY THE COST OF SUCH LABORATORY SERVICES TO
THE EXTENT THAT SUCH COST EXCEEDS THE BENEFITS PROVIDED UNDER THE  GROUP
OR BLANKET POLICY WITHOUT FORFEITURE OF THE BENEFITS PROVIDED UNDER SUCH

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

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