Assembly Bill A3520

2013-2014 Legislative Session

Enacts the "health insurance preauthorization disclosure act"

download bill text pdf

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Archive: Last Bill Status - In Assembly 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

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2013-A3520 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Add §§4242 & 4905-a, Ins L; add §4905-a, Pub Health L
Versions Introduced in Other Legislative Sessions:
2009-2010: A8592
2011-2012: A199
2015-2016: A263, A9051
2017-2018: A1938
2019-2020: A1187
2021-2022: A5629
2023-2024: A842

2013-A3520 (ACTIVE) - Summary

Enacts the "health insurance preauthorization disclosure act"; requires health insurance companies to provide participating health care providers with a list of health care treatments and services that require preauthorization from the health insurance company.

2013-A3520 (ACTIVE) - Bill Text download pdf

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

                                  3520

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                            January 28, 2013
                               ___________

Introduced  by M. of A. ROZIC -- read once and referred to the Committee
  on Insurance

AN ACT to amend the insurance law and the public health law, in relation
  to enacting the "health insurance preauthorization disclosure act"

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

  Section  1.  Short  title. This act shall be known and may be cited as
the "health insurance preauthorization disclosure act".
  S 2. The insurance law is amended by adding a new section 4242 to read
as follows:
  S 4242. HEALTH INSURANCE COMPANIES; PREAUTHORIZATION FOR  HEALTH  CARE
SERVICES.  EVERY  HEALTH  CARE  INSURANCE  COMPANY  SHALL BE REQUIRED TO
PROVIDE PARTICIPATING PHYSICIANS AND HEALTH CARE PROVIDERS,  AS  DEFINED
IN SUBDIVISION SEVEN OF SECTION TWENTY-NINE HUNDRED EIGHTY OF THE PUBLIC
HEALTH LAW, WITH AN UPDATED  LIST OF HEALTH CARE TREATMENTS AND SERVICES
THAT  REQUIRE PREAUTHORIZATION OR PRECERTIFICATION FROM SUCH HEALTH CARE
INSURANCE COMPANY.  SUCH LIST SHALL BE DEVELOPED BASED UPON CONSULTATION
WITH MEDICAL GUIDELINES DEVELOPED  BY  THE  RELEVANT  MEDICAL  SPECIALTY
ORGANIZATION  AND  IN CONSULTATION WITH APPROPRIATELY TRAINED PHYSICIANS
PRACTICING WITHIN THE REGION THE HEALTH CARE INSURANCE  COMPANY  SERVES.
SUCH  LIST  SHALL BE UPDATED ANNUALLY OR MORE FREQUENTLY AS APPROPRIATE.
ONLY THOSE HEALTH CARE SERVICES WHICH ARE CONTAINED ON SUCH  LIST  SHALL
BE  SUBJECT  TO PRE-AUTHORIZATION OR PRECERTIFICATION BY THE HEALTH CARE
INSURANCE COMPANY. NO HEALTH CARE TREATMENT OR SERVICE SHALL BE ADDED TO
THE LIST OF  SERVICES  REQUIRED  PRE-AUTHORIZATION  OR  PRECERTIFICATION
UNLESS  THE  HEALTH  CARE INSURANCE COMPANY PROVIDES A MINIMUM OF NINETY
DAYS NOTICE TO PARTICIPATING PHYSICIANS AND HEALTH CARE PROVIDERS.
  S 3. The public health law is amended by adding a new  section  4905-a
to read as follows:
  S  4905-A.  PRE-AUTHORIZED  SERVICES.  EVERY HEALTH CARE PLAN SHALL BE
REQUIRED TO DEVELOP AND PROVIDE TO PARTICIPATING HEALTH CARE PROVIDERS A

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD05054-01-3
              

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