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Assembly Bill A8101

2015-2016 Legislative Session

Relates to limits on charges by providers of health services

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Archive: Last Bill Status - In Assembly Committee

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2015-A8101 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยง5108, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: A33
2019-2020: A265
2021-2022: A1185

2015-A8101 (ACTIVE) - Summary

Relates to limits on charges by providers of health services; provides for the superintendent of financial services to set limits for no-fault claims.

2015-A8101 (ACTIVE) - Bill Text download pdf 

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

                                  8101

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                              June 8, 2015
                               ___________

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

AN  ACT  to amend the insurance law, in relation to limits on charges by
  providers of health services

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

  Section  1.  Subsections  (a) and (b) of section 5108 of the insurance
law are amended to read as follows:
  (a) The charges for services specified in paragraph one of  subsection
(a)  of  section  five  thousand one hundred two of this article and any
further health service charges which are incurred as  a  result  of  the
injury  and which are in excess of basic economic loss, shall not exceed
the charges permissible under  the  [schedules]  SCHEDULE  prepared  and
established  by  the  [chairman  of  the workers' compensation board for
industrial accidents] SUPERINTENDENT PURSUANT TO SUBSECTION (B) OF  THIS
SECTION,  except where the insurer or arbitrator determines that unusual
procedures or unique circumstances justify the excess charge.
  (b) The superintendent[, after consulting with  the  chairman  of  the
workers'  compensation  board  and  the  commissioner  of health,] shall
promulgate rules and  regulations  [implementing  and  coordinating  the
provisions  of  this  article  and  the  workers' compensation law] with
respect to charges for the professional  health  services  specified  in
paragraph one of subsection (a) of section five thousand one hundred two
of  this  article, including the establishment of schedules for all such
services [for which schedules have not been prepared and established  by
the  chairman  of the workers' compensation board]. IN ESTABLISHING SUCH
SCHEDULES THE SUPERINTENDENT SHALL ENSURE  THAT  PROVIDER  REIMBURSEMENT
RATES  ACCURATELY  REFLECT  THE  TREATMENT  NEEDS  OF NO-FAULT CLAIMANTS
INCLUDING THE ESTABLISHMENT OF RATES SUFFICIENT TO  REIMBURSE  SPECIALTY
PROVIDERS WHO TREAT NO-FAULT CLAIMANTS.
  S 2. This act shall take effect immediately.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD11572-01-5

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