Assembly Bill A1421B

2017-2018 Legislative Session

Relates to rates of reimbursement for telehealth services

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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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Bill Amendments

2017-A1421 - Details

See Senate Version of this Bill:
S834
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:
2015-2016: A10500, S7953
2019-2020: S1043

2017-A1421 - 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.

2017-A1421 - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1421
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 12, 2017
                                ___________
 
 Introduced  by M. of A. JENNE -- read once and referred to the Committee
   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:
   §  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.
   § 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
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

2017-A1421A - Details

See Senate Version of this Bill:
S834
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:
2015-2016: A10500, S7953
2019-2020: S1043

2017-A1421A - 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.

2017-A1421A - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  1421--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 12, 2017
                                ___________
 
 Introduced  by M. of A. JENNE -- 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 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:
   § 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.
   §  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
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

2017-A1421B (ACTIVE) - Details

See Senate Version of this Bill:
S834
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:
2015-2016: A10500, S7953
2019-2020: S1043

2017-A1421B (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.

2017-A1421B (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  1421--B
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 12, 2017
                                ___________
 
 Introduced  by M. of A. JENNE -- read once and referred to the Committee
   on Insurance -- committee discharged, bill amended, ordered  reprinted
   as  amended  and  recommitted  to said committee -- recommitted to the
   Committee on Insurance in accordance with Assembly Rule 3, sec.  2  --
   committee  discharged,  bill amended, ordered reprinted as amended and
   recommitted to said committee
 
 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:
   §  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.
   § 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
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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