Assembly Bill A1063A

2015-2016 Legislative Session

Provides that no policy of group accident, group health or group accident and health shall impose copayments in excess of 20 percent of total reimbursement to the provider of care

download bill text pdf

Sponsored By

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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Bill Amendments

multi-Sponsors

2015-A1063 - Details

See Senate Version of this Bill:
S28
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 4235, 4301 & 4322, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A8171, S4321
2011-2012: A187, S4870
2013-2014: A1666, S2319
2017-2018: A569, S5764
2019-2020: A405, S3751
2021-2022: A594, S3562
2023-2024: A6345, S1470

2015-A1063 - Summary

Provides that no policy of group accident, group health or group accident and health shall impose co-payments in excess of twenty percent of total reimbursement to the provider of care.

2015-A1063 - Bill Text download pdf

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

                                  1063

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                             January 8, 2015
                               ___________

Introduced  by M. of A. CAHILL -- Multi-Sponsored by -- M. of A. ABBATE,
  ABINANTI, ARROYO, BENEDETTO, BORELLI, BRAUNSTEIN,  BRENNAN,  BRINDISI,
  BROOK-KRASNY,  CAMARA, CERETTO, CLARK, COLTON, CORWIN, CRESPO, CROUCH,
  CUSICK, CYMBROWITZ, ENGLEBRIGHT, FARRELL,  GALEF,  GARBARINO,  GIGLIO,
  GOTTFRIED,  GRAF,  GUNTHER,  HAWLEY, HEVESI, HOOPER, JAFFEE, KAVANAGH,
  LAVINE, LENTOL, LIFTON, LUPARDO, LUPINACCI, MAGEE, MAGNARELLI, MARKEY,
  McDONOUGH, McKEVITT, McLAUGHLIN, MOSLEY, OTIS, PAULIN, PEOPLES-STOKES,
  PERRY, PRETLOW, QUART, RAMOS, ROBERTS, ROSENTHAL,  RUSSELL,  SALADINO,
  SCARBOROUGH,  SIMANOWITZ, STEC, STECK, STIRPE, TENNEY, THIELE, WRIGHT,
  ZEBROWSKI -- read once and referred to the Committee on Insurance

AN ACT to amend the insurance  law,  in  relation  to  physical  therapy
  services

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

  Section 1. Paragraph 23 of subsection  (i)  of  section  3216  of  the
insurance  law,  as added by chapter 593 of the laws of 2000, is amended
to read as follows:
  (23) If a policy provides for reimbursement for physical  and  occupa-
tional therapy service which is within the lawful scope of practice of a
duly  licensed  physical  or occupational therapist, an insured shall be
entitled to reimbursement for such service whether the said  service  is
performed  by a physician or through a duly licensed physical or occupa-
tional therapist, provided however, that nothing contained herein  shall
be  construed  to  impair any terms of such policy including appropriate
utilization review and the requirement that said  service  be  performed
pursuant to a medical order, or a similar or related service of a physi-
cian  PROVIDED THAT SUCH TERMS SHALL NOT IMPOSE CO-PAYMENTS IN EXCESS OF
TWENTY PERCENT OF THE TOTAL REIMBURSEMENT TO THE PROVIDER OF CARE.
  S 2. Subparagraph (A) of paragraph 1 of subsection (f) of section 4235
of the insurance law, as amended by chapter 219 of the laws of 2011,  is
amended to read as follows:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01104-01-5
              

co-Sponsors

multi-Sponsors

2015-A1063A (ACTIVE) - Details

See Senate Version of this Bill:
S28
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 4235, 4301 & 4322, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A8171, S4321
2011-2012: A187, S4870
2013-2014: A1666, S2319
2017-2018: A569, S5764
2019-2020: A405, S3751
2021-2022: A594, S3562
2023-2024: A6345, S1470

2015-A1063A (ACTIVE) - Summary

Provides that no policy of group accident, group health or group accident and health shall impose co-payments in excess of twenty percent of total reimbursement to the provider of care.

2015-A1063A (ACTIVE) - Bill Text download pdf

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

                                 1063--A

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                             January 8, 2015
                               ___________

Introduced  by M. of A. CAHILL -- Multi-Sponsored by -- M. of A. ABBATE,
  ABINANTI, ARROYO, BENEDETTO, BORELLI, BRAUNSTEIN,  BRENNAN,  BRINDISI,
  BROOK-KRASNY,  CERETTO, CLARK, COLTON, CORWIN, CRESPO, CROUCH, CUSICK,
  CYMBROWITZ, ENGLEBRIGHT, FARRELL, GALEF, GARBARINO, GIGLIO, GOTTFRIED,
  GRAF, GUNTHER,  HAWLEY,  HEVESI,  HOOPER,  JAFFEE,  KAVANAGH,  LAVINE,
  LENTOL,  LIFTON,  LUPARDO, LUPINACCI, MAGEE, MAGNARELLI, MARKEY, McDO-
  NALD, McDONOUGH, McKEVITT, McLAUGHLIN, MOSLEY, OTIS, PAULIN,  PEOPLES-
  STOKES,  PERRY,  PRETLOW,  QUART,  RAMOS, ROBERTS, ROSENTHAL, RUSSELL,
  SALADINO, SIMANOWITZ, STEC, STECK,  STIRPE,  TENNEY,  THIELE,  WRIGHT,
  ZEBROWSKI  --  read once and referred to the Committee on Insurance --
  committee discharged, bill amended, ordered reprinted as  amended  and
  recommitted to said committee

AN  ACT  to  amend  the  insurance  law, in relation to physical therapy
  services

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

  Section  1.  Paragraph  23  of  subsection  (i) of section 3216 of the
insurance law, as added by chapter 593 of the laws of 2000,  is  amended
to read as follows:
  (23)  If  a policy provides for reimbursement for physical and occupa-
tional therapy service which is within the lawful scope of practice of a
duly licensed physical or occupational therapist, an  insured  shall  be
entitled  to  reimbursement for such service whether the said service is
performed by a physician or through a duly licensed physical or  occupa-
tional  therapist, provided however, that nothing contained herein shall
be construed to impair any terms of such  policy  including  appropriate
utilization  review  and  the requirement that said service be performed
pursuant to a medical order, or a similar or related service of a physi-
cian PROVIDED THAT SUCH TERMS SHALL NOT IMPOSE CO-PAYMENTS IN EXCESS  OF
TWENTY  PERCENT  OF  THE  TOTAL REIMBURSEMENT TO THE PROVIDER OF CARE OR
DIFFERENT DEDUCTIBLES, CO-PAYMENTS OR CO-INSURANCE AMOUNTS ON THE  BASIS

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01104-03-5
              

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