|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Jun 16, 2016||referred to rules|
delivered to senate
ordered to third reading rules cal.460
rules report cal.460
|Jun 06, 2016||reported referred to rules|
|Jun 01, 2016||reported referred to codes|
|May 27, 2016||referred to insurance|
assembly Bill A10470
Archive: Last Bill Status - Passed Assembly
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
A10470 (ACTIVE) - Details
A10470 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 10470 I N A S S E M B L Y May 27, 2016 ___________ Introduced by M. of A. CAHILL -- read once and referred to the Committee on Insurance AN ACT to amend the financial services law, in relation to establishing protections from excessive hospital emergency charges; and providing for the repeal of certain provisions upon expiration thereof THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 605 of the financial services law, as added by section 26 of part H of chapter 60 of the laws of 2014, is amended to read as follows: S 605. Dispute resolution for emergency services. (a) Emergency services for an insured. (1) When a health care plan receives a bill for emergency services from a non-participating physician OR HOSPITAL, the health care plan shall pay an amount that it determines is reasonable for the emergency services rendered by the non-participating physician OR HOSPITAL, in accordance with section three thousand two hundred twen- ty-four-a of the insurance law, except for the insured's co-payment, coinsurance or deductible, if any, and shall ensure that the insured shall incur no greater out-of-pocket costs for the emergency services than the insured would have incurred with a participating physician OR HOSPITAL pursuant to subsection (c) of section three thousand two hundred forty-one of the insurance law. (2) A non-participating physician OR HOSPITAL or a health care plan may submit a dispute regarding a fee or payment for emergency services for review to an independent dispute resolution entity. IN CASES WHERE A HEALTH CARE PLAN SUBMITS A DISPUTE REGARDING A FEE FOR PAYMENT OF A NON-PARTICIPATING HOSPITAL'S EMERGENCY ROOM SERVICES, THE HEALTH CARE PLAN SHALL PAY THE AMOUNT IT DETERMINES IS REASONABLE DIRECTLY TO THE NON-PARTICIPATING HOSPITAL. (3) The independent dispute resolution entity shall make a determi- nation within thirty days of receipt of the dispute for review. (4) In determining a reasonable fee for the services rendered, an independent dispute resolution entity shall select either the health care plan's payment or the non-participating physician's OR HOSPITAL'S EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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