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Assembly Bill A8063A

2017-2018 Legislative Session

Requires health insurers to provide health care providers with the coverage a policyholder or covered person has, when liability is unclear

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Archive: Last Bill Status - On Floor Calendar

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Bill Amendments

2017-A8063 - Details

See Senate Version of this Bill:
S5779
Law Section:
Insurance Law
Laws Affected:
Amd §3224-a, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: S7370
2019-2020: S6341

2017-A8063 - Summary

Requires health insurers to provide health care providers with the coverage a policyholder or covered person has, when liability for a health care claim is not reasonably clear.

2017-A8063 - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8063
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 25, 2017
                                ___________
 
 Introduced  by  M.  of  A.  CYMBROWITZ  -- read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the insurance  law,  in  relation  to  requiring  health
   insurers  to  provide,  when  liability  for a claim is not reasonably
   clear, the coverage the policyholder or covered person is enrolled in

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  2  of  subsection (b) of section 3224-a of the
 insurance law, as amended by chapter 237 of the laws of 2009, is amended
 and a new paragraph 3 is added to read as follows:
   (2) to request all additional information needed to determine  liabil-
 ity to pay the claim or make the health care payment[.]; AND
   (3)  OF  THE  SPECIFIC  TYPE  OF  PLAN  OR PRODUCT THE POLICYHOLDER OR
 COVERED PERSON IS ENROLLED IN.
   § 2. Subsection (d) of section 3224-a of the insurance law is  amended
 by adding a new paragraph 3 to read as follows:
   (3) "PLAN OR PRODUCT" SHALL MEAN:
   (I)  MEDICAID  COVERAGE  CERTIFIED  PURSUANT  TO SECTION THREE HUNDRED
 SIXTY-FOUR-J OF THE SOCIAL SERVICES LAW;
   (II) A CHILD HEALTH INSURANCE PLAN CERTIFIED PURSUANT TO SECTION TWEN-
 TY-FIVE HUNDRED ELEVEN OF THE PUBLIC HEALTH LAW;
   (III) BASIC HEALTH PROGRAM  COVERAGE  CERTIFIED  PURSUANT  TO  SECTION
 THREE  HUNDRED  SIXTY-NINE-GG  OF THE SOCIAL SERVICES LAW, INCLUDING THE
 SPECIFIC RATING GROUP THE POLICYHOLDER OR COVERED PERSON IS ENROLLED IN;
   (IV) COVERAGE PURCHASED ON THE NEW YORK INSURANCE EXCHANGE ESTABLISHED
 PURSUANT TO ARTICLE SIXTY-TWO OF THIS CHAPTER; AND
   (V) ANY OTHER PRODUCT FULLY INSURED AND REGULATED BY THE  STATE  UNDER
 ARTICLE FORTY-TWO, FORTY-THREE, OR FORTY-SEVEN OF THIS CHAPTER, OR ARTI-
 CLE FORTY-FOUR OF THE PUBLIC HEALTH LAW.
   § 3. This act shall take effect July 1, 2018.

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11297-01-7

2017-A8063A (ACTIVE) - Details

See Senate Version of this Bill:
S5779
Law Section:
Insurance Law
Laws Affected:
Amd §3224-a, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: S7370
2019-2020: S6341

2017-A8063A (ACTIVE) - Summary

Requires health insurers to provide health care providers with the coverage a policyholder or covered person has, when liability for a health care claim is not reasonably clear.

2017-A8063A (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  8063--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 25, 2017
                                ___________
 
 Introduced  by  M.  of  A.  CYMBROWITZ  -- 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 requiring health
   insurers to provide, when liability for  a  claim  is  not  reasonably
   clear, the coverage the policyholder or covered person is enrolled in
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph 2 of subsection (b)  of  section  3224-a  of  the
 insurance law, as amended by chapter 237 of the laws of 2009, is amended
 and a new paragraph 3 is added to read as follows:
   (2)  to request all additional information needed to determine liabil-
 ity to pay the claim or make the health care payment[.]; AND
   (3) OF THE SPECIFIC TYPE  OF  PLAN  OR  PRODUCT  THE  POLICYHOLDER  OR
 COVERED  PERSON  IS  ENROLLED  IN; PROVIDED THAT NOTHING IN THIS SECTION
 SHALL AUTHORIZE DISCRIMINATION BASED ON THE SOURCE OF PAYMENT.
   § 2. Subsection (d) of section 3224-a of the insurance law is  amended
 by adding a new paragraph 3 to read as follows:
   (3) "PLAN OR PRODUCT" SHALL MEAN:
   (I)  MEDICAID  COVERAGE  CERTIFIED  PURSUANT  TO SECTION THREE HUNDRED
 SIXTY-FOUR-J OF THE SOCIAL SERVICES LAW;
   (II) A CHILD HEALTH INSURANCE PLAN CERTIFIED PURSUANT TO SECTION TWEN-
 TY-FIVE HUNDRED ELEVEN OF THE PUBLIC HEALTH LAW;
   (III) BASIC HEALTH PROGRAM  COVERAGE  CERTIFIED  PURSUANT  TO  SECTION
 THREE  HUNDRED  SIXTY-NINE-GG  OF THE SOCIAL SERVICES LAW, INCLUDING THE
 SPECIFIC RATING GROUP THE POLICYHOLDER OR COVERED PERSON IS ENROLLED IN;
   (IV) COVERAGE PURCHASED ON THE NEW YORK INSURANCE EXCHANGE ESTABLISHED
 PURSUANT TO ARTICLE SIXTY-TWO OF THIS CHAPTER; AND
   (V) ANY OTHER PRODUCT FULLY INSURED AND REGULATED BY THE  STATE  UNDER
 ARTICLE FORTY-TWO, FORTY-THREE, OR FORTY-SEVEN OF THIS CHAPTER, OR ARTI-
 CLE FORTY-FOUR OF THE PUBLIC HEALTH LAW.
   § 3. This act shall take effect July 1, 2018.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

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