S T A T E O F N E W Y O R K
________________________________________________________________________
7946
2019-2020 Regular Sessions
I N A S S E M B L Y
May 29, 2019
___________
Introduced by M. of A. McDONALD -- read once and referred to the Commit-
tee on Insurance
AN ACT to amend the insurance law, in relation to requiring insurers to
provide insureds or subscribers with an explanation of pharmaceutical
benefits relating to claims under certain accident and health insur-
ance policies
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 3234 of the insurance law, as added by chapter 731
of the laws of 1993, is renumbered section 3244 and subsection (a) of
such section is amended to read as follows:
(a) Every insurer, including health maintenance organizations operat-
ing under article forty-four of the public health law or article forty-
three of this chapter and any other corporation operating under article
forty-three of this chapter, is required to provide the insured or
subscriber with an explanation of benefits form in response to the
filing of any claim under a policy or certificate providing coverage for
hospital [or], medical OR PHARMACEUTICAL expenses, including policies
and certificates providing nursing home expense or home care expense
benefits.
§ 2. This act shall take effect on the sixtieth day after it shall
become a law and shall apply to all claims filed on and after such
effective date. Effective immediately the addition, amendment and/or
repeal of any rule or regulation necessary for the implementation of
this act on its effective date are authorized to be made and completed
on or before such date.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD10851-02-9
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