assembly Bill A7611

2017-2018 Legislative Session

Relates to establishing protections from excessive hospital emergency charges

download bill text pdf

Sponsored By

Archive: Last Bill Status - Passed Assembly


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

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Actions

view actions (28)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 12, 2018 committed to rules
returned to senate
repassed assembly
Jun 04, 2018 amended on third reading 7611c
May 14, 2018 amended on third reading 7611b
May 14, 2018 vote reconsidered - restored to third reading
returned to assembly
recalled from senate
Mar 22, 2018 referred to insurance
delivered to senate
passed assembly
Jan 03, 2018 ordered to third reading cal.534
returned to assembly
died in senate
Jun 15, 2017 recommitted to rules
returned to senate
repassed assembly
Jun 12, 2017 amended on third reading 7611a
Jun 12, 2017 vote reconsidered - restored to third reading
returned to assembly
recalled from senate
Jun 07, 2017 referred to rules
delivered to senate
passed assembly
May 25, 2017 advanced to third reading cal.561
May 23, 2017 reported
May 16, 2017 reported referred to codes
May 03, 2017 referred to insurance

Co-Sponsors

A7611 - Details

Current Committee:
Senate Rules
Law Section:
Financial Services Law
Laws Affected:
Amd §§605 & 608, Fin Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10470
2019-2020: A264

A7611 - Summary

Relates to establishing protections from excessive hospital emergency charges; includes hospital charges.

A7611 - Bill Text download pdf


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

                                  7611

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                               May 3, 2017
                               ___________

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

AN  ACT to amend the financial services law, in relation to establishing
  protections from excessive hospital emergency charges

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

  Section  1.  Section  605  of  the financial services law, as added by
section 26 of part H of chapter 60 of the laws of 2014,  is  amended  to
read as follows:
  §  605.  Dispute  resolution  for  emergency  services.  (a) Emergency
services for an insured. (1) When a health care plan receives a bill for
emergency services from a non-participating physician OR  HOSPITAL,  the
health  care  plan  shall pay an amount that it determines is reasonable
for the emergency services rendered by the  non-participating  physician
OR HOSPITAL, in accordance with section three thousand two hundred twen-
ty-four-a  of  the  insurance  law, except for the insured's co-payment,
coinsurance or deductible, if any, and shall  ensure  that  the  insured
shall  incur  no  greater out-of-pocket costs for the emergency services
than the insured would have incurred with a participating  physician  OR
HOSPITAL  pursuant  to  subsection  (c)  of  section  three thousand two
hundred forty-one of the insurance law.
  (2) A non-participating physician OR HOSPITAL or a  health  care  plan
may  submit  a dispute regarding a fee or payment for emergency services
for review to an independent dispute resolution entity. IN CASES WHERE A
HEALTH CARE PLAN SUBMITS A DISPUTE REGARDING A  FEE  FOR  PAYMENT  OF  A
NON-PARTICIPATING  HOSPITAL'S  EMERGENCY  ROOM SERVICES, THE HEALTH CARE
PLAN SHALL PAY THE AMOUNT IT DETERMINES IS REASONABLY  DIRECTLY  TO  THE
NON-PARTICIPATING HOSPITAL.
  (3)  The  independent  dispute resolution entity shall make a determi-
nation within thirty days of receipt of the dispute for review.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09770-01-7

Co-Sponsors

view additional co-sponsors

A7611A - Details

Current Committee:
Senate Rules
Law Section:
Financial Services Law
Laws Affected:
Amd §§605 & 608, Fin Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10470
2019-2020: A264

A7611A - Summary

Relates to establishing protections from excessive hospital emergency charges; includes hospital charges.

A7611A - Bill Text download pdf


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

                                 7611--A
                                                        Cal. No. 561

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                               May 3, 2017
                               ___________

Introduced  by  M.  of A. CAHILL, SEPULVEDA -- read once and referred to
  the Committee on Insurance -- reported and referred to  the  Committee
  on Codes -- advanced to a third reading, passed by Assembly and deliv-
  ered  to the Senate, recalled from the Senate, vote reconsidered, bill
  amended, ordered reprinted, retaining its place on the order of  third
  reading

AN  ACT to amend the financial services law, in relation to establishing
  protections from excessive hospital emergency charges

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

  Section  1.  Section  605  of  the financial services law, as added by
section 26 of part H of chapter 60 of the laws of 2014,  is  amended  to
read as follows:
  §  605.  Dispute  resolution  for  emergency  services.  (a) Emergency
services for an insured. (1) When a health care plan receives a bill for
emergency services from a non-participating physician OR  HOSPITAL,  the
health  care  plan  shall pay an amount that it determines is reasonable
for the emergency services rendered by the  non-participating  physician
OR HOSPITAL, in accordance with section three thousand two hundred twen-
ty-four-a  of  the  insurance  law, except for the insured's co-payment,
coinsurance or deductible, if any, and shall  ensure  that  the  insured
shall  incur  no  greater out-of-pocket costs for the emergency services
than the insured would have incurred with a participating  physician  OR
HOSPITAL  pursuant  to  subsection  (c)  of  section  three thousand two
hundred forty-one of the insurance law.
  (2) A non-participating physician OR HOSPITAL or a  health  care  plan
may  submit  a dispute regarding a fee or payment for emergency services
for review to an independent dispute resolution entity.  IN CASES  WHERE
A  HEALTH  CARE  PLAN SUBMITS A DISPUTE REGARDING A FEE FOR PAYMENT OF A
NON-PARTICIPATING PHYSICIAN OR HOSPITAL'S EMERGENCY SERVICES, THE HEALTH
CARE PLAN SHALL, AFTER THE INITIAL PAYMENT, PAY ANY  ADDITIONAL  AMOUNTS

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

Co-Sponsors

A7611B - Details

Current Committee:
Senate Rules
Law Section:
Financial Services Law
Laws Affected:
Amd §§605 & 608, Fin Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10470
2019-2020: A264

A7611B - Summary

Relates to establishing protections from excessive hospital emergency charges; includes hospital charges.

A7611B - Bill Text download pdf


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

                                 7611--B
                                                        Cal. No. 534

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                               May 3, 2017
                               ___________

Introduced  by  M.  of  A.  CAHILL, COLTON, ARROYO, JEAN-PIERRE, TAYLOR,
  McDONOUGH -- read once and referred to the Committee on  Insurance  --
  reported and referred to the Committee on Codes -- advanced to a third
  reading, passed by Assembly and delivered to the Senate, recalled from
  the  Senate,  vote  reconsidered,  bill  amended,  ordered  reprinted,
  retaining its place on the order of third reading -- passed by  Assem-
  bly and delivered to the Senate, recalled from the Senate, vote recon-
  sidered,  bill  amended, ordered reprinted, retaining its place on the
  order of third reading

AN ACT to amend the financial services law, in relation to  establishing
  protections from excessive hospital emergency charges

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

  Section 1. Section 605 of the financial  services  law,  as  added  by
section  26  of  part H of chapter 60 of the laws of 2014, is amended to
read as follows:
  § 605.  Dispute  resolution  for  emergency  services.  (a)  Emergency
services for an insured. (1) When a health care plan receives a bill for
emergency  services  from a non-participating physician OR HOSPITAL, the
health care plan shall pay an amount that it  determines  is  reasonable
for  the  emergency services rendered by the non-participating physician
OR HOSPITAL, in accordance with section three thousand two hundred twen-
ty-four-a of the insurance law, except  for  the  insured's  co-payment,
coinsurance  or  deductible,  if  any, and shall ensure that the insured
shall incur no greater out-of-pocket costs for  the  emergency  services
than  the  insured would have incurred with a participating physician OR
HOSPITAL pursuant to  subsection  (c)  of  section  three  thousand  two
hundred forty-one of the insurance law.
  (2)  A  non-participating  physician OR HOSPITAL or a health care plan
may submit a dispute regarding a fee or payment for  emergency  services
for  review to an independent dispute resolution entity.  IN CASES WHERE

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

Co-Sponsors

view additional co-sponsors

Multi-Sponsors

A7611C (ACTIVE) - Details

Current Committee:
Senate Rules
Law Section:
Financial Services Law
Laws Affected:
Amd §§605 & 608, Fin Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10470
2019-2020: A264

A7611C (ACTIVE) - Summary

Relates to establishing protections from excessive hospital emergency charges; includes hospital charges.

A7611C (ACTIVE) - Bill Text download pdf


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

                                 7611--C
                                                        Cal. No. 534

                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                               May 3, 2017
                               ___________

Introduced  by  M.  of  A.  CAHILL, COLTON, ARROYO, JEAN-PIERRE, TAYLOR,
  McDONOUGH -- read once and referred to the Committee on  Insurance  --
  reported and referred to the Committee on Codes -- advanced to a third
  reading, passed by Assembly and delivered to the Senate, recalled from
  the  Senate,  vote  reconsidered,  bill  amended,  ordered  reprinted,
  retaining its place on the order of third reading -- passed by  Assem-
  bly and delivered to the Senate, recalled from the Senate, vote recon-
  sidered,  bill  amended, ordered reprinted, retaining its place on the
  order of third reading -- passed by  Assembly  and  delivered  to  the
  Senate,  recalled  from  the  Senate, vote reconsidered, bill amended,
  ordered reprinted, retaining its place on the order of third reading

AN ACT to amend the financial services law, in relation to  establishing
  protections from excessive hospital emergency charges

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

  Section 1. Section 605 of the financial  services  law,  as  added  by
section  26  of  part H of chapter 60 of the laws of 2014, is amended to
read as follows:
  § 605.  Dispute  resolution  for  emergency  services.  (a)  Emergency
services for an insured. (1) When a health care plan receives a bill for
emergency  services  from a non-participating physician OR HOSPITAL, the
health care plan shall pay an amount that it  determines  is  reasonable
for  the  emergency services rendered by the non-participating physician
OR HOSPITAL, in accordance with section three thousand two hundred twen-
ty-four-a of the insurance law, except  for  the  insured's  co-payment,
coinsurance  or  deductible,  if  any, and shall ensure that the insured
shall incur no greater out-of-pocket costs for  the  emergency  services
than  the  insured would have incurred with a participating physician OR
HOSPITAL pursuant to  subsection  (c)  of  section  three  thousand  two
hundred forty-one of the insurance law.

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

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