assembly Bill A1421B

2017-2018 Legislative Session

Relates to rates of reimbursement for telehealth services

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Archive: Last 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 (6)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Feb 26, 2018 print number 1421b
Feb 26, 2018 amend and recommit to insurance
Jan 03, 2018 referred to insurance
Apr 28, 2017 print number 1421a
Apr 28, 2017 amend and recommit to insurance
Jan 12, 2017 referred to insurance

A1421 - Details

See Senate Version of this Bill:
S834
Current Committee:
Assembly Insurance
Law Section:
Public Health Law
Laws Affected:
Amd §§2999-dd & 4406-g, Pub Health L; amd §§3217-h & 4306-g, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10500, S7953
2019-2020: S1043

A1421 - Summary

Relates to rates of reimbursement for telehealth services; requires insurers to reimburse telehealth providers at the same rate as they would if the services had been provided in person.

A1421 - Bill Text download pdf


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

                                  1421

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                            January 12, 2017
                               ___________

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

AN ACT to amend the public health law and the insurance law, in relation
  to rates of reimbursement for telehealth services

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

  Section 1. Section 2999-dd of the public health law, as added by chap-
ter 6 of the laws of 2015, is amended to read as follows:
  §  2999-dd.  Telehealth  delivery of services. 1. Health care services
delivered by means of telehealth  shall  be  entitled  to  reimbursement
under section three hundred sixty-seven-u of the social services law.
  2.  AN  INSURER  SHALL  REIMBURSE  A  TELEHEALTH  PROVIDER FOR COVERED
SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS AND AT THE SAME RATE
AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIVERED VIA TELEHEALTH.
  § 2. Subsection (a) of section 3217-h of the insurance law,  as  added
by chapter 6 of the laws of 2015, is amended to read as follows:
  (a)  An  insurer  shall  not  exclude  from coverage a service that is
otherwise covered under a policy that  provides  comprehensive  coverage
for  hospital, medical or surgical care because the service is delivered
via telehealth, as that term  is  defined  in  subsection  (b)  of  this
section;  provided, however, that an insurer may exclude from coverage a
service by a health care provider where the provider  is  not  otherwise
covered  under  the  policy.  An  insurer SHALL REIMBURSE THE TELEHEALTH
PROVIDER FOR COVERED SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS
AND AT THE SAME RATE AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIV-
ERED VIA TELEHEALTH; AND may subject the coverage of a service delivered
via telehealth to co-payments, coinsurance or deductibles provided  that
they  are  at least as favorable to the insured as those established for
the same service when not  delivered  via  telehealth.  An  insurer  may
subject the coverage of a service delivered via telehealth to reasonable
utilization  management  and  quality  assurance  requirements  that are

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

A1421A - Details

See Senate Version of this Bill:
S834
Current Committee:
Assembly Insurance
Law Section:
Public Health Law
Laws Affected:
Amd §§2999-dd & 4406-g, Pub Health L; amd §§3217-h & 4306-g, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10500, S7953
2019-2020: S1043

A1421A - Summary

Relates to rates of reimbursement for telehealth services; requires insurers to reimburse telehealth providers at the same rate as they would if the services had been provided in person.

A1421A - Bill Text download pdf


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

                                 1421--A

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                            January 12, 2017
                               ___________

Introduced  by M. of A. JENNE -- 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 public health law and the insurance law, in relation
  to rates of reimbursement for telehealth services

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

  Section 1. Section 2999-dd of the public health law, as added by chap-
ter 6 of the laws of 2015, is amended to read as follows:
  § 2999-dd. Telehealth delivery of services. 1.  Health  care  services
delivered  by  means  of  telehealth  shall be entitled to reimbursement
under section three hundred sixty-seven-u of the social services law.
  2. AN INSURER  SHALL  REIMBURSE  A  TELEHEALTH  PROVIDER  FOR  COVERED
SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS AND AT THE SAME RATE
AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIVERED VIA TELEHEALTH.
  §  2.  Subsection (a) of section 3217-h of the insurance law, as added
by chapter 6 of the laws of 2015, is amended to read as follows:
  (a) An insurer shall not exclude  from  coverage  a  service  that  is
otherwise  covered  under  a policy that provides comprehensive coverage
for hospital, medical or surgical care because the service is  delivered
via  telehealth,  as  that  term  is  defined  in subsection (b) of this
section; provided, however, that an insurer may exclude from coverage  a
service  by  a  health care provider where the provider is not otherwise
covered under the policy. An  insurer  SHALL  REIMBURSE  THE  TELEHEALTH
PROVIDER FOR COVERED SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS
AND AT THE SAME RATE AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIV-
ERED VIA TELEHEALTH; AND may subject the coverage of a service delivered
via  telehealth to co-payments, coinsurance or deductibles provided that
they are at least as favorable to the insured as those  established  for
the  same  service  when  not  delivered  via telehealth. An insurer may
subject the coverage of a service delivered via telehealth to reasonable

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

A1421B (ACTIVE) - Details

See Senate Version of this Bill:
S834
Current Committee:
Assembly Insurance
Law Section:
Public Health Law
Laws Affected:
Amd §§2999-dd & 4406-g, Pub Health L; amd §§3217-h & 4306-g, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10500, S7953
2019-2020: S1043

A1421B (ACTIVE) - Summary

Relates to rates of reimbursement for telehealth services; requires insurers to reimburse telehealth providers at the same rate as they would if the services had been provided in person.

A1421B (ACTIVE) - Bill Text download pdf


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

                                 1421--B

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                            January 12, 2017
                               ___________

Introduced  by M. of A. JENNE -- read once and referred to the Committee
  on Insurance -- committee discharged, bill amended, ordered  reprinted
  as  amended  and  recommitted  to said committee -- recommitted to the
  Committee on Insurance in accordance with Assembly Rule 3, sec.  2  --
  committee  discharged,  bill amended, ordered reprinted as amended and
  recommitted to said committee

AN ACT to amend the public health law and the insurance law, in relation
  to rates of reimbursement for telehealth services

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

  Section 1. Section 2999-dd of the public health law, as added by chap-
ter 6 of the laws of 2015, is amended to read as follows:
  §  2999-dd.  Telehealth  delivery of services. 1. Health care services
delivered by means of telehealth  shall  be  entitled  to  reimbursement
under section three hundred sixty-seven-u of the social services law.
  2.  AN  INSURER  SHALL  REIMBURSE  A  TELEHEALTH  PROVIDER FOR COVERED
SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS AND AT THE SAME RATE
AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIVERED VIA TELEHEALTH.
  § 2. Subsection (a) of section 3217-h of the insurance law,  as  added
by chapter 6 of the laws of 2015, is amended to read as follows:
  (a)  An  insurer  shall  not  exclude  from coverage a service that is
otherwise covered under a policy that  provides  comprehensive  coverage
for  hospital, medical or surgical care because the service is delivered
via telehealth, as that term  is  defined  in  subsection  (b)  of  this
section;  provided, however, that an insurer may exclude from coverage a
service by a health care provider where the provider  is  not  otherwise
covered  under  the  policy.  An  insurer SHALL REIMBURSE THE TELEHEALTH
PROVIDER FOR COVERED SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS
AND AT THE SAME RATE AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIV-
ERED VIA TELEHEALTH; AND may subject the coverage of a service delivered
via telehealth to co-payments, coinsurance or deductibles provided  that

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