assembly Bill A27

2017-2018 Legislative Session

Requires health insurers to accept payments for coverage of health care from third parties

download bill text pdf

Sponsored By

Current Bill Status - In Assembly Committee


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

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Actions

view actions (1)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 04, 2017 referred to insurance

A27 - Details

Law Section:
Public Health Law
Laws Affected:
Amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
Versions Introduced in Previous Legislative Sessions:
2015-2016: A1064A
2013-2014: A10091

A27 - Summary

Requires health insurers to accept payments for coverage of health care from third parties.

A27 - Bill Text download pdf

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

                                   27

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 4, 2017
                               ___________

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

AN ACT to amend the public health law and the insurance law, in relation
  to requiring health insurers to accept third party payments for cover-
  age

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

  Section 1. Section 4406-c of the  public  health  law  is  amended  by
adding a new subdivision 9 to read as follows:
  9. WITH REGARD TO A SUBSCRIBER CONTRACT OFFERED THROUGH THE INDIVIDUAL
MARKET,  A  HEALTH  MAINTENANCE ORGANIZATION SHALL NOT BY CONTRACT OR IN
ANY OTHER MANNER REFUSE TO ACCEPT PREMIUM OR ANY REQUIRED  COST  SHARING
PAYMENTS  FROM  THIRD  PARTIES  IF  MADE  BY (A) AN INDIAN TRIBE, TRIBAL
ORGANIZATION, URBAN INDIAN ORGANIZATION, OR ANY STATE OR FEDERAL GOVERN-
MENT PROGRAM OR GRANTEE (SUCH AS THE RYAN  WHITE  HIV/AIDS  PROGRAM)  ON
BEHALF  OF  AN ENROLLEE, OR (B) A PRIVATE, NOT-FOR-PROFIT FOUNDATION, ON
BEHALF OF AN ENROLLEE WHO SATISFIES DEFINED CRITERIA THAT ARE  BASED  ON
FINANCIAL  STATUS  AND  DO  NOT  CONSIDER HEALTH STATUS, AND THE PAYMENT
COVERS THE ENTIRE POLICY YEAR.
  S 2. Section 3217-b of the insurance law is amended by  adding  a  new
subsection (k) to read as follows:
  (K)  WITH REGARD TO AN INSURANCE POLICY OFFERED THROUGH THE INDIVIDUAL
MARKET, AN INSURER SHALL NOT BY CONTRACT OR IN ANY OTHER  MANNER  REFUSE
TO  ACCEPT  PREMIUM  OR  ANY  REQUIRED  COST SHARING PAYMENTS FROM THIRD
PARTIES IF MADE BY (1) AN INDIAN TRIBE, TRIBAL ORGANIZATION, URBAN INDI-
AN ORGANIZATION, OR ANY STATE OR FEDERAL GOVERNMENT PROGRAM  OR  GRANTEE
(SUCH  AS  THE  RYAN WHITE HIV/AIDS PROGRAM) ON BEHALF OF AN INSURED, OR
(2) A PRIVATE, NOT-FOR-PROFIT FOUNDATION, ON BEHALF OF  AN  INSURED  WHO
SATISFIES DEFINED CRITERIA THAT ARE BASED ON FINANCIAL STATUS AND DO NOT
CONSIDER HEALTH STATUS, AND THE PAYMENT COVERS THE ENTIRE POLICY YEAR.

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

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