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Assembly Bill A7862A

2017-2018 Legislative Session

Relates to penalties to managed care organizations

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Archive: Last Bill Status - In Senate Committee Health Committee

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Bill Amendments

2017-A7862 - Details

See Senate Version of this Bill:
S5340
Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L
Versions Introduced in 2019-2020 Legislative Session:
A3068, S1804

2017-A7862 - Summary

Provides that no penalties for late, incomplete or inaccurate data shall be assessed against managed care organizations except in cases of fraud or abuse.

2017-A7862 - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7862
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 17, 2017
                                ___________
 
 Introduced  by M. of A. GOTTFRIED -- (at request of the Medicaid Inspec-
   tor General) -- read once and referred to the Committee on Health
 
 AN ACT to amend the social services law, in  relation  to  penalties  to
   managed care organizations
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph (d) of subdivision 32 of  section  364-j  of  the
 social  services  law, as added by section 15 of part B of chapter 59 of
 the laws of 2016, is amended to read as follows:
   (d) Penalties under this subdivision may be applied  to  any  and  all
 circumstances  described  in paragraph (b) of this subdivision until the
 managed care organization complies with the requirements for  submission
 of  encounter  data.  No  penalties  for  late, incomplete or inaccurate
 encounter data shall be assessed against managed care  organizations  in
 addition  to  those provided for in this subdivision, EXCEPT IN CASES OF
 FRAUD OR ABUSE.
   § 2. This act shall take effect on the ninetieth day  after  it  shall
 have  become a law, provided that the amendments to section 364-j of the
 social services law, made by section one of this act, shall  not  affect
 the repeal of such section, and shall be deemed repealed therewith.
 
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD10145-01-7

2017-A7862A (ACTIVE) - Details

See Senate Version of this Bill:
S5340
Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L
Versions Introduced in 2019-2020 Legislative Session:
A3068, S1804

2017-A7862A (ACTIVE) - Summary

Provides that no penalties for late, incomplete or inaccurate data shall be assessed against managed care organizations except in cases of fraud or abuse.

2017-A7862A (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  7862--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 17, 2017
                                ___________
 
 Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
   Committee on Health -- reported and referred to the Committee on Codes
   -- committee discharged, bill amended, ordered  reprinted  as  amended
   and recommitted to said committee
 
 AN  ACT  to  amend  the social services law, in relation to penalties to
   managed care organizations

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  (d)  of subdivision 32 of section 364-j of the
 social services law, as added by section 15 of part B of chapter  59  of
 the laws of 2016, is amended to read as follows:
   (d) (I) Penalties under this subdivision may be applied to any and all
 circumstances  described  in paragraph (b) of this subdivision until the
 managed care organization complies with the requirements for  submission
 of encounter data.
   (II)  No  penalties  for late, incomplete or inaccurate encounter data
 shall be assessed against managed  care  organizations  in  addition  to
 those  provided for in this subdivision, PROVIDED, HOWEVER, THAT NOTHING
 IN THIS PARAGRAPH SHALL PROHIBIT THE IMPOSITION OF PENALTIES,  IN  CASES
 OF FRAUD OR ABUSE, OTHERWISE AUTHORIZED BY LAW.
   §  2.  This  act shall take effect on the ninetieth day after it shall
 have become a law, provided that the amendments to section 364-j of  the
 social  services  law, made by section one of this act, shall not affect
 the repeal of such section, and shall be deemed repealed therewith.
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD10145-02-7

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