assembly Bill A569A

2017-2018 Legislative Session

Provides that no policy of group accident, group health or group accident and health shall impose copayments for physical or occupational therapy greater than copays for similar services provided by a physician

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Assembly Committee


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

Your Voice

do you support this bill?

Please enter your contact information

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.

Actions

view actions (4)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 03, 2018 referred to insurance
May 31, 2017 print number 569a
May 31, 2017 amend and recommit to insurance
Jan 09, 2017 referred to insurance

Co-Sponsors

view additional co-sponsors

Multi-Sponsors

view additional multi-sponsors

A569 (ACTIVE) - Details

See Senate Version of this Bill:
S5764
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
2015-2016: A1063, S28
2019-2020: A405

A569 (ACTIVE) - Summary

Provides that no policy of group accident, group health or group accident and health shall impose copayments for physical or occupational therapy greater than the copay for similar services provided by a physician.

A569 (ACTIVE) - Bill Text download pdf


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

                                   569

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                             January 9, 2017
                               ___________

Introduced  by  M.  of  A.  CAHILL,  SKOUFIS, BLANKENBUSH, RIVERA, FAHY,
  BARRETT, WEPRIN, TITONE, BRABENEC, MURRAY, SANTABARBARA, LALOR,  MOYA,
  HUNTER,  CASTORINA,  MALLIOTAKIS  --  Multi-Sponsored  by  -- M. of A.
  ABBATE, ABINANTI, ARROYO,  BENEDETTO,  BRAUNSTEIN,  BRINDISI,  COLTON,
  CRESPO,  CROUCH,  CUSICK,  CYMBROWITZ, DINOWITZ, ENGLEBRIGHT, FARRELL,
  GALEF, GARBARINO, GIGLIO, GOTTFRIED, GRAF,  GUNTHER,  HAWLEY,  HEVESI,
  HOOPER, JAFFEE, JENNE, KAVANAGH, LENTOL, LIFTON, LOPEZ, LUPARDO, LUPI-
  NACCI,  MAGEE,  MAGNARELLI, McDONALD, McDONOUGH, McKEVITT, McLAUGHLIN,
  MOSLEY, OTIS, PAULIN, PEOPLES-STOKES,  PERRY,  PRETLOW,  QUART,  RAIA,
  RAMOS,   ROSENTHAL,  SALADINO,  SEPULVEDA,  SIMANOWITZ,  STEC,  STECK,
  STIRPE, THIELE, WALTER, WOERNER, 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 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.

Co-Sponsors

view additional co-sponsors

Multi-Sponsors

view additional multi-sponsors

A569A (ACTIVE) - Details

See Senate Version of this Bill:
S5764
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
2015-2016: A1063, S28
2019-2020: A405

A569A (ACTIVE) - Summary

Provides that no policy of group accident, group health or group accident and health shall impose copayments for physical or occupational therapy greater than the copay for similar services provided by a physician.

A569A (ACTIVE) - Bill Text download pdf


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

                                 569--A

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                             January 9, 2017
                               ___________

Introduced  by  M.  of  A.  CAHILL,  SKOUFIS, BLANKENBUSH, RIVERA, FAHY,
  BARRETT, WEPRIN, TITONE, BRABENEC, MURRAY, SANTABARBARA, LALOR,  MOYA,
  HUNTER,  CASTORINA,  MALLIOTAKIS  --  Multi-Sponsored  by  -- M. of A.
  ABBATE, ABINANTI, ARROYO,  BENEDETTO,  BRAUNSTEIN,  BRINDISI,  COLTON,
  CRESPO,  CROUCH,  CUSICK,  CYMBROWITZ, DINOWITZ, ENGLEBRIGHT, FARRELL,
  GALEF, GARBARINO, GIGLIO, GOTTFRIED, GRAF,  GUNTHER,  HAWLEY,  HEVESI,
  HOOPER, JAFFEE, JENNE, KAVANAGH, LENTOL, LIFTON, LOPEZ, LUPARDO, LUPI-
  NACCI,  MAGEE,  MAGNARELLI, McDONALD, McDONOUGH, McKEVITT, McLAUGHLIN,
  MOSLEY, OTIS, PAULIN, PEOPLES-STOKES,  PERRY,  PRETLOW,  QUART,  RAIA,
  RAMOS,  ROSENTHAL,  SEPULVEDA, SIMANOWITZ, SIMON, STEC, STECK, STIRPE,
  THIELE, WALTER, WOERNER, 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.    AN  INSURER  SHALL NOT IMPOSE A COPAYMENT OR COINSURANCE AMOUNT
CHARGED TO THE INSURED FOR SERVICES RENDERED FOR EACH DATE OF SERVICE BY

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

Comments

Open Legislation comments facilitate discussion of New York State legislation. All comments are subject to moderation. Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity or hate speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Comment moderation is generally performed Monday through Friday.

By contributing or voting you agree to the Terms of Participation and verify you are over 13.