Senate Bill S6053

Signed By Governor
2017-2018 Legislative Session

Prohibits requiring prior authorization for the provision of coverage of services in a neonatal intensive care unit

download bill text pdf

Sponsored By

Archive: Last Bill Status - Signed by Governor


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2017-S6053 (ACTIVE) - Details

See Assembly Version of this Bill:
A8051
Law Section:
Public Health Law
Laws Affected:
Amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L

2017-S6053 (ACTIVE) - Summary

Prohibits requiring prior authorization for the provision of coverage for services provided in a neonatal intensive care unit.

2017-S6053 (ACTIVE) - Sponsor Memo

2017-S6053 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6053
 
                        2017-2018 Regular Sessions
 
                             I N  S E N A T E
 
                               May 10, 2017
                                ___________
 
 Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law and the insurance law, in relation
   to health care coverage for neonatal intensive care services
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Section  4406-c  of  the  public health law is amended by
 adding a new subdivision 9 to read as follows:
   9. A HEALTH CARE PLAN SHALL NOT REQUIRE A PRIOR AUTHORIZATION DETERMI-
 NATION FOR SERVICES PROVIDED IN A NEONATAL  INTENSIVE  CARE  UNIT  OF  A
 GENERAL  HOSPITAL  CERTIFIED  PURSUANT  TO  ARTICLE TWENTY-EIGHT OF THIS
 CHAPTER. NOTHING IN THIS SUBDIVISION SHALL PROHIBIT A HEALTH  CARE  PLAN
 FROM  DENYING A CLAIM FOR SUCH SERVICES IF THE SERVICES ARE SUBSEQUENTLY
 DETERMINED NOT MEDICALLY NECESSARY.
   § 2. Section 3217-b of the insurance law is amended by  adding  a  new
 subsection (k) to read as follows:
   (K)  AN  INSURER SHALL NOT REQUIRE A PRIOR AUTHORIZATION DETERMINATION
 FOR SERVICES PROVIDED IN A NEONATAL INTENSIVE CARE  UNIT  OF  A  GENERAL
 HOSPITAL CERTIFIED PURSUANT TO ARTICLE TWENTY-EIGHT OF THE PUBLIC HEALTH
 LAW. NOTHING IN THIS SUBSECTION SHALL PROHIBIT AN INSURER FROM DENYING A
 CLAIM  FOR SUCH SERVICES IF THE SERVICES ARE SUBSEQUENTLY DETERMINED NOT
 MEDICALLY NECESSARY.
   § 3. Section 4325 of the insurance law is  amended  by  adding  a  new
 subsection (l) to read as follows:
   (1)  A  CORPORATION  ORGANIZED  UNDER THIS ARTICLE SHALL NOT REQUIRE A
 PRIOR AUTHORIZATION DETERMINATION FOR SERVICES PROVIDED  IN  A  NEONATAL
 INTENSIVE  CARE UNIT OF A GENERAL HOSPITAL CERTIFIED PURSUANT TO ARTICLE
 TWENTY-EIGHT OF THE PUBLIC HEALTH LAW. NOTHING IN THIS SUBSECTION  SHALL
 PROHIBIT A CORPORATION ORGANIZED UNDER THIS ARTICLE FROM DENYING A CLAIM
 FOR  SUCH  SERVICES  IF  THE  SERVICES  ARE  SUBSEQUENTLY DETERMINED NOT
 MEDICALLY NECESSARY.
   § 4. This act shall take effect on the sixtieth  day  after  it  shall
 have become a law.
 
              

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