S T A T E O F N E W Y O R K
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1463
2015-2016 Regular Sessions
I N A S S E M B L Y
January 12, 2015
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Introduced by M. of A. CROUCH, HAWLEY, McKEVITT, McLAUGHLIN -- read once
and referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to reimbursement by
insurers for ambulatory services
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph 15 of subsection (l) of section 3221 of the
insurance law is amended by adding a new subparagraph (F) to read as
follows:
(F) AN INSURER WHO ISSUES REIMBURSEMENT UNDER THIS PARAGRAPH SHALL
SUBMIT SUCH PAYMENTS EITHER DIRECTLY, TO THE PROVIDER, OR IF SUCH
PAYMENTS ARE ISSUED TO THE INSURED, THEN IN THE FORM OF A TWO-PARTY
CHECK SPECIFYING THE NAME OF THE INSURED AND THE PROVIDER OF AMBULATORY
SERVICES; PROVIDED, HOWEVER, IF THE INSURED FURNISHES A RECORD OF
PAYMENT FOR SUCH SERVICES TO THE INSURER, THE INSURER MAY, IF SATISFIED
BY SUCH RECORD, ISSUE REIMBURSEMENT SOLELY TO THE INSURED.
S 2. Paragraph 24 of subsection (i) of section 3216 of the insurance
law is amended by adding a new subparagraph (F) to read as follows:
(F) AN INSURER WHO ISSUES REIMBURSEMENT UNDER THIS PARAGRAPH SHALL
SUBMIT SUCH PAYMENTS EITHER DIRECTLY, TO THE PROVIDER, OR IF SUCH
PAYMENTS ARE ISSUED TO THE INSURED, THEN IN THE FORM OF A TWO-PARTY
CHECK SPECIFYING THE NAME OF THE INSURED AND THE PROVIDER OF AMBULATORY
SERVICES; PROVIDED, HOWEVER, IF THE INSURED FURNISHES A RECORD OF
PAYMENT FOR SUCH SERVICES TO THE INSURER, THE INSURER MAY, IF SATISFIED
BY SUCH RECORD, ISSUE REIMBURSEMENT SOLELY TO THE INSURED.
S 3. This act shall take effect immediately.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD05153-01-5