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Senate Bill S7502

2013-2014 Legislative Session

Requires health maintenance organizations to cover health care services that are ordered by a court under certain circumstances

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Archive: Last Bill Status - In Senate Committee Health Committee

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2013-S7502 (ACTIVE) - Details

Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd ยง4406-c, Pub Health L

2013-S7502 (ACTIVE) - Summary

Requires health maintenance organizations to cover health care services that are ordered by a court under certain circumstances.

2013-S7502 (ACTIVE) - Sponsor Memo

2013-S7502 (ACTIVE) - Bill Text download pdf 

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

                                  7502

                            I N  S E N A T E

                              May 15, 2014
                               ___________

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

AN ACT to amend the public health law, in relation to  requiring  health
  maintenance organizations to cover court ordered health care services

  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 9 to read as follows:
  9.  A  HEALTH  CARE  PLAN MUST COVER HEALTH CARE SERVICES ORDERED BY A
COURT OF COMPETENT JURISDICTION ON THE BASIS OF AN EVALUATION  PERFORMED
BY A PHYSICIAN IF:
  (A) THE EVALUATION IS PERFORMED BY A PARTICIPATING PROVIDER WHO CERTI-
FIES THAT FURTHER SERVICES ARE NECESSARY;
  (B)  THE  HEALTH CARE SERVICES THAT ARE THE SUBJECT OF THE PROSPECTIVE
COURT ORDER ARE A COVERED BENEFIT OF THE HEALTH CARE PLAN; AND
  (C) THE HEALTH CARE SERVICES ARE TO BE  PROVIDED  BY  A  PARTICIPATING
HEALTH CARE PROVIDER OF THE HEALTH CARE PLAN.
  ANY  SUCH  HEALTH  CARE  SERVICE  SHALL  NOT  BE SUBJECT TO A SEPARATE
MEDICAL NECESSITY DETERMINATION BY THE HEALTH CARE PLAN.
  S 2. This act shall take effect July 1, 2015.





 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD15121-01-4

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