Assembly Bill A10500

2015-2016 Legislative Session

Relates to rates of reimbursement for telehealth services

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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2015-A10500 (ACTIVE) - Details

See Senate Version of this Bill:
S7953
Current Committee:
Assembly Insurance
Law Section:
Public Health Law
Laws Affected:
Amd §§2999-dd & 4406-g, Pub Health L; amd §§3217-h & 4306-g, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: A1421, S834
2019-2020: S1043

2015-A10500 (ACTIVE) - Summary

Relates to rates of reimbursement for telehealth services; requires insurers to reimburse telehealth providers at the same rate as they would if the services had been provided in person.

2015-A10500 (ACTIVE) - Bill Text download pdf

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

                                  10500

                          I N  A S S E M B L Y

                              May 31, 2016
                               ___________

Introduced  by M. of A. RUSSELL -- read once and referred to the Commit-
  tee on Insurance

AN ACT to amend the public health law and the insurance law, in relation
  to rates of reimbursement for telehealth services

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

  Section 1. Section 2999-dd of the public health law, as added by chap-
ter 6 of the laws of 2015, is amended to read as follows:
  S  2999-dd.  Telehealth  delivery of services. 1. Health care services
delivered by means of telehealth  shall  be  entitled  to  reimbursement
under section three hundred sixty-seven-u of the social services law.
  2.  AN  INSURER  SHALL  REIMBURSE  A  TELEHEALTH  PROVIDER FOR COVERED
SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS AND AT THE SAME RATE
AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIVERED VIA TELEHEALTH.
  S 2. Subsection (a) of section 3217-h of the insurance law,  as  added
by chapter 6 of the laws of 2015, is amended to read as follows:
  (a)  An  insurer  shall  not  exclude  from coverage a service that is
otherwise covered under a policy that  provides  comprehensive  coverage
for  hospital, medical or surgical care because the service is delivered
via telehealth, as that term  is  defined  in  subsection  (b)  of  this
section;  provided, however, that an insurer may exclude from coverage a
service by a health care provider where the provider  is  not  otherwise
covered  under  the  policy.  An  insurer SHALL REIMBURSE THE TELEHEALTH
PROVIDER FOR COVERED SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS
AND AT THE SAME RATE AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIV-
ERED VIA TELEHEALTH; AND may subject the coverage of a service delivered
via telehealth to co-payments, coinsurance or deductibles provided  that
they  are  at least as favorable to the insured as those established for
the same service when not  delivered  via  telehealth.  An  insurer  may
subject the coverage of a service delivered via telehealth to reasonable
utilization  management  and  quality  assurance  requirements  that are
consistent with those established for the same service when  not  deliv-
ered via telehealth.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD15675-02-6
              

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