assembly Bill A405

2019-2020 Legislative Session

Provides that no policy of group accident, group health or group accident and health shall impose copayments for physical or occupational therapy greater than copays for similar services provided by a physician

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Sponsored By

Current 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

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 09, 2019 referred to insurance

Co-Sponsors

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Multi-Sponsors

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A405 - Details

See Senate Version of this Bill:
S3751
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 4235, 4301 & 4322, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A8171, S4321
2011-2012: A187, S4870
2013-2014: A1666, S2319
2015-2016: A1063, S28
2017-2018: A569, S5764

A405 - Summary

Provides that no policy of group accident, group health or group accident and health shall impose copayments for physical or occupational therapy greater than the copay for similar services provided by a physician.

A405 - Bill Text download pdf


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

                                   405

                       2019-2020 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 9, 2019
                               ___________

Introduced  by  M.  of  A. CAHILL, BARRETT, BLANKENBUSH, DiPIETRO, FAHY,
  HUNTER, MALLIOTAKIS, B. MILLER, RIVERA, SANTABARBARA, STECK, WEPRIN --
  Multi-Sponsored by -- M. of A. ABBATE,  ABINANTI,  ARROYO,  BENEDETTO,
  BRAUNSTEIN,  COLTON,  CRESPO,  CROUCH,  CUSICK,  CYMBROWITZ, DINOWITZ,
  ENGLEBRIGHT, GALEF, GARBARINO,  GIGLIO,  GOTTFRIED,  GUNTHER,  HAWLEY,
  HEVESI,   JAFFEE,  LENTOL,  LIFTON,  LUPARDO,  MAGNARELLI,  McDONOUGH,
  MOSLEY,  OTIS,  PALMESANO,  PAULIN,  PEOPLES-STOKES,  PERRY,  PRETLOW,
  QUART,  RAIA,  RAMOS, L. ROSENTHAL, SIMON, STEC, STIRPE, THIELE, WOER-
  NER, ZEBROWSKI -- read once and referred to the Committee on Insurance

AN ACT to amend the insurance  law,  in  relation  to  physical  therapy
  services

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

  Section 1. Paragraph 23 of subsection  (i)  of  section  3216  of  the
insurance  law,  as added by chapter 593 of the laws of 2000, is amended
to read as follows:
  (23) If a policy provides for reimbursement for physical  and  occupa-
tional therapy service which is within the lawful scope of practice of a
duly  licensed  physical  or occupational therapist, an insured shall be
entitled to reimbursement for such service whether the said  service  is
performed  by a physician or through a duly licensed physical or occupa-
tional therapist, provided however, that nothing contained herein  shall
be  construed  to  impair any terms of such policy including appropriate
utilization review and the requirement that said  service  be  performed
pursuant to a medical order, or a similar or related service of a physi-
cian.    AN  INSURER  SHALL NOT IMPOSE A COPAYMENT OR COINSURANCE AMOUNT
CHARGED TO THE INSURED FOR SERVICES RENDERED FOR EACH DATE OF SERVICE BY
A PHYSICAL THERAPIST LICENSED UNDER ARTICLE ONE  HUNDRED  THIRTY-SIX  OF
THE  EDUCATION  LAW  OR AN OCCUPATIONAL THERAPIST LICENSED UNDER ARTICLE
ONE HUNDRED FIFTY-SIX OF THE EDUCATION LAW  THAT  IS  GREATER  THAN  THE

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

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