senate Bill S6207

2013-2014 Legislative Session

Requires health insurers to offer coverage of health care provided by out of network providers

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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

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to insurance

Co-Sponsors

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S6207 - Details

See Assembly Version of this Bill:
A8494
Law Section:
Insurance Law
Laws Affected:
Amd §§3217-e & 4306-d, Ins L; amd §4403, Pub Health L

S6207 - Summary

Requires health insurers to offer coverage of health care provided by out-of-network providers.

S6207 - Bill Text download pdf

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

                                  6207

                            I N  S E N A T E

                               (PREFILED)

                             January 8, 2014
                               ___________

Introduced  by  Sens. HANNON, DeFRANCISCO, LAVALLE, MAZIARZ, RANZENHOFER
  -- read twice and ordered printed, and when printed to be committed to
  the Committee on Insurance

AN ACT to amend the insurance law and the public health law, in relation
  to requiring health care insurers to offer coverage  for  health  care
  provided by out-of-network providers

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

  Section 1. Section 3217-e of the insurance law, as  added  by  chapter
219 of the laws of 2011, is amended to read as follows:
  S  3217-e.  Choice  of  health  care  provider. (A) An insurer that is
subject to this article and requires or provides for designation  by  an
insured  of  a  participating  primary  care  provider  shall permit the
insured to designate any participating  primary  care  provider  who  is
available  to  accept such individual, and in the case of a child, shall
permit the insured to designate a physician (allopathic or  osteopathic)
who  specializes  in  pediatrics as the child's primary care provider if
such provider participates in the network of the insurer.
  (B) EVERY INSURER THAT OFFERS HEALTH INSURANCE AND IS SUBJECT  TO  THE
PROVISIONS  OF  THIS  ARTICLE, SHALL OFFER OUT-OF-NETWORK COVERAGE AS AN
OPTIONAL RIDER TO ANY POLICY AND SHALL OFFER AT LEAST ONE POLICY  OPTION
THAT  INCLUDES  OUT-OF-NETWORK  COVERAGE.  THESE  OPTIONS  SHALL BE MADE
AVAILABLE BOTH WITHIN THE STATEWIDE HEALTH BENEFIT EXCHANGE AND  OUTSIDE
OF THE HEALTH BENEFIT EXCHANGE.
  S  2.  Section 4306-d of the insurance law, as added by chapter 219 of
the laws of 2011, is amended to read as follows:
  S 4306-d. Choice of health care provider. (A) A  corporation  that  is
subject  to  the provisions of this article and requires or provides for
designation by a subscriber of a  participating  primary  care  provider
shall  permit the subscriber to designate any participating primary care
provider who is available to accept such individual, and in the case  of
a child, shall permit the subscriber to designate a physician (allopath-
ic  or osteopathic) who specializes in pediatrics as the child's primary

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

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