Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Oct 23, 2017 |
signed chap.389 |
Oct 11, 2017 |
delivered to governor |
Jun 19, 2017 |
returned to senate passed assembly |
Jun 15, 2017 |
ordered to third reading rules cal.310 substituted for a8051 |
Jun 13, 2017 |
referred to codes delivered to assembly passed senate |
Jun 05, 2017 |
advanced to third reading |
May 24, 2017 |
2nd report cal. |
May 23, 2017 |
1st report cal.1158 |
May 10, 2017 |
referred to health |
Senate Bill S6053
Signed By Governor2017-2018 Legislative Session
Sponsored By
(R, C, IP) Senate District
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
Actions
Votes
co-Sponsors
(R, C, IP) Senate District
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) - Sponsor Memo
BILL NUMBER: S6053 TITLE OF BILL : An act to amend the public health law and the insurance law, in relation to health care coverage for neonatal intensive care services PURPOSE : To clarify that a health plan shall not require a prior authorization determination for services provided in a neonatal intensive care unit of a general hospital, provided however the plan may deny a claim for such services if it is determined it was not medically necessary. SUMMARY OF PROVISIONS : Sections 1 through 3 of the bill amend section 4406-c of the public health law and sections 3217b and 4325 of the insurance law to provide that insurers shall not require a prior authorization determination for services provided in a neonatal intensive care unit of a general hospital, provided however insurers may deny a claim for such services if the services are subsequently determine not medically necessary. Section 4 of the bill provides for an effective date. JUSTIFICATION :
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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