|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Jan 08, 2014||referred to insurance|
senate Bill S6133
Archive: Last Bill Status - In Senate Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S6133 - Details
S6133 - Sponsor Memo
BILL NUMBER:S6133 TITLE OF BILL: An act to amend the insurance law, in relation to unauthorized providers of health services PURPOSE: This bill addresses certain abuses of the no-fault insurance system by permitting the Superintendent of insurance (Superintendent) to prohibit a provider of health services from demanding or requesting payment for health services rendered under Article 51 of the Insurance Law for a period not exceeding three years if the Superintendent determines that the provider has engaged in certain activities. SUMMARY OF PROVISIONS: Section 1 of the bill amends the lead sentence of Insurance Law § 5102 to specify that the definitions set forth in that section apply only to Article 51 and not the entire Insurance Law. Section 1 also adds new Insurance Law § 5102(a) to specify that the term "provider of health services" means "a person or entity who renders health services." Section 2 amends Insurance Law §§ 5109(a) to define "health services," for purposes of Insurance Law § 5109, as services, supplies, therapies or other treatments as specified in Insurance Law § 5102(a)(1)(i), (ii) or (iv).
S6133 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 6133 I N S E N A T E (PREFILED) January 8, 2014 ___________ Introduced by Sen. O'BRIEN -- 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 unauthorized providers of health services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The opening paragraph of section 5102 of the insurance law is amended and a new subsection (n) is added to read as follows: In this [chapter] ARTICLE: (N) "PROVIDER OF HEALTH SERVICES" MEANS A PERSON OR ENTITY WHO RENDERS HEALTH SERVICES. S 2. Section 5109 of the insurance law, as added by chapter 423 of the laws of 2005, is amended to read as follows: S 5109. Unauthorized providers of health services. (a) [The super- intendent, in consultation with the commissioner of health and the commissioner of education, shall by regulation, promulgate standards and procedures for investigating and suspending or removing the authori- zation for providers of health services to demand or request payment for health services as specified in paragraph one of subsection (a) of section five thousand one hundred two of this article upon findings reached after investigation pursuant to this section. Such regulations shall ensure the same or greater due process provisions, including notice and opportunity to be heard, as those afforded physicians inves- tigated under article two of the workers' compensation law and shall include provision for notice to all providers of health services of the provisions of this section and regulations promulgated thereunder at least ninety days in advance of the effective date of such regulations] AS USED IN THIS SECTION, "HEALTH SERVICES" MEANS SERVICES, SUPPLIES, THERAPIES OR OTHER TREATMENTS AS SPECIFIED IN SUBPARAGRAPH (I), (II) OR (IV) OF PARAGRAPH ONE OF SUBSECTION (A) OF SECTION FIVE THOUSAND ONE HUNDRED TWO OF THIS ARTICLE. (b) [The commissioner of health and the commissioner of education shall provide a list of the names of all providers of health services EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
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