assembly Bill A4437

2015-2016 Legislative Session

Prohibits Medicare charges by healthcare providers in excess of statutory limitations

download bill text pdf

Sponsored By

Archive: Last Bill Status - Stricken


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Dec 01, 2015 enacting clause stricken
Jan 30, 2015 referred to health

Co-Sponsors

Multi-Sponsors

A4437 - Details

Law Section:
Public Health Law
Laws Affected:
Amd ยง19, Pub Health L
Versions Introduced in 2013-2014 Legislative Session:
A7838

A4437 - Summary

Prohibits Medicare charges by healthcare providers in excess of statutory limitations.

A4437 - Bill Text download pdf

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

                                  4437

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                            January 30, 2015
                               ___________

Introduced  by M. of A. SILVER, GOTTFRIED -- Multi-Sponsored by -- M. of
  A. BRAUNSTEIN, BRINDISI, DINOWITZ, HEVESI -- read once and referred to
  the Committee on Health

AN ACT to amend the public health law, in relation to prohibiting  Medi-
  care  charges  by  healthcare providers in excess of statutory limita-
  tions

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

  Section  1.  Section  19 of the public health law, as added by chapter
572 of the laws of 1990, is amended to read as follows:
  S 19. Reasonable charges for medicare beneficiaries.  1. No [physician
licensed under article one hundred  thirty-one  of  the  education  law]
HEALTHCARE  PROVIDER shall charge from a beneficiary of health insurance
under title XVIII of the federal  social  security  act  (medicare)  any
amount in excess of ONE HUNDRED AND FIVE PERCENT OF the [following limi-
tations:
  (a)  Effective  January  first,  nineteen hundred ninety-one, a physi-
cian's charge shall not  exceed  one  hundred  fifteen  percent  of  the
reasonable  charge  for  that service as determined by the United States
secretary for health and human services.
  (b) Beginning January first, nineteen hundred ninety-three,  a  physi-
cian's charge shall not exceed one hundred ten percent of the reasonable
charge]  ESTABLISHED  MEDICARE  PAYMENT RATE, INCLUDING ANY DEDUCTIBLES,
COINSURANCE OR COPAYMENTS for that service as determined by  the  United
States  secretary for health and human services[, provided however, that
if the statewide percentage of medicare part B claims billed at or below
the reasonable charge as determined by the United States  secretary  for
health  and  human  services  for  federal  fiscal year nineteen hundred
eighty-nine fails to increase by  five  percentage  points  for  federal
fiscal  year nineteen hundred ninety-two, such physician's charge shall,
thereafter, not exceed one hundred five percent of the reasonable charge

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD06783-01-5

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