Assembly Bill A4684

2017-2018 Legislative Session

Relates to insurance reimbursement for early intervention services for infants and toddlers with disabilities

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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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2017-A4684 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Public Health Law
Laws Affected:
Amd §2559, Pub Health L; amd §3235-a, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A8373
2011-2012: A4898
2013-2014: A2783
2015-2016: A5420

2017-A4684 (ACTIVE) - Summary

Relates to insurance reimbursement for early intervention services for infants and toddlers with disabilities; provides that insurers and health plans shall not deny claims for such services due to lack of prior approval or out-of-network providers where such services are furnished pursuant to an early intervention individual family service plan.

2017-A4684 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   4684
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 3, 2017
                                ___________
 
 Introduced  by  M.  of  A.  O'DONNELL  --  read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the public health law and the insurance law, in relation
   to insurance reimbursement for early intervention services for infants
   and toddlers with disabilities

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subdivision 3 of section 2559 of the public health law is
 amended by adding a new paragraph (e) to read as follows:
   (E) AN INSURER OR HEALTH PLAN ADMINISTRATOR  SHALL  ACCEPT  THE  EARLY
 INTERVENTION  INDIVIDUAL FAMILY SERVICE PLAN AS DOCUMENTATION OF PRE-AU-
 THORIZATION AND PRIOR APPROVAL FOR SUCH SERVICES TO AN  ELIGIBLE  CHILD.
 ALL  SUCH  SERVICES  SHALL BE CONSIDERED "COVERED SERVICES". A QUALIFIED
 PROVIDER OF EARLY INTERVENTION SERVICES, AS  DEFINED  IN  THIS  ARTICLE,
 SHALL  NOT  BE  CONSIDERED  AN  OUT-OF-NETWORK  PROVIDER FOR PURPOSES OF
 COVERAGE UNDER AN INSURANCE POLICY OR HEALTH INSURANCE PLAN.
   § 2. Section 3235-a of the insurance law is amended by  adding  a  new
 subsection (e) to read as follows:
   (E)  NO  INSURER, INCLUDING A HEALTH MAINTENANCE ORGANIZATION ISSUED A
 CERTIFICATE OF AUTHORITY UNDER ARTICLE FORTY-FOUR OF THE  PUBLIC  HEALTH
 LAW  AND A CORPORATION ORGANIZED UNDER ARTICLE FORTY-THREE OF THIS CHAP-
 TER, SHALL REFUSE TO ACCEPT THE  EARLY  INTERVENTION  INDIVIDUAL  FAMILY
 SERVICE  PLAN  AS  DOCUMENTATION OF PRE-AUTHORIZATION AND PRIOR APPROVAL
 FOR SUCH SERVICES TO AN ELIGIBLE  CHILD.  ALL  SUCH  SERVICES  SHALL  BE
 CONSIDERED  "COVERED  SERVICES".  A  QUALIFIED  PROVIDER OF EARLY INTER-
 VENTION SERVICES, AS DEFINED IN THIS ARTICLE, SHALL NOT BE CONSIDERED AN
 OUT-OF-NETWORK PROVIDER FOR PURPOSES  OF  COVERAGE  UNDER  AN  INSURANCE
 POLICY OR HEALTH INSURANCE PLAN.
   § 3. This act shall take effect immediately.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD09431-01-7

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