assembly Bill A264B

2019-2020 Legislative Session

Relates to establishing protections from excessive hospital emergency charges

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Sponsored By

Current 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 (14)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 05, 2019 referred to rules
delivered to senate
passed assembly
ruling of chair on point of order
ordered to third reading rules cal.65
rules report cal.65
reported
reported referred to rules
May 21, 2019 reported referred to codes
May 17, 2019 print number 264b
May 17, 2019 amend (t) and recommit to insurance
May 02, 2019 print number 264a
May 02, 2019 amend (t) and recommit to insurance
Jan 09, 2019 referred to insurance

Co-Sponsors

Multi-Sponsors

A264 (ACTIVE) - Details

See Senate Version of this Bill:
S3171
Current Committee:
Senate Rules
Law Section:
Financial Services Law
Laws Affected:
Amd §§605, 608 & 604, Fin Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10470, S7868
2017-2018: A7611, S4241

A264 (ACTIVE) - Summary

Establishes patient protections from excessive hospital emergency charges; includes hospital charges, including hospital charges for inpatient services which follow an emergency room visit.

A264 (ACTIVE) - Bill Text download pdf


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

                                   264

                       2019-2020 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 9, 2019
                               ___________

Introduced  by  M.  of  A.  CAHILL, COLTON, ARROYO, JEAN-PIERRE, TAYLOR,
  McDONOUGH -- Multi-Sponsored by -- M. of A. EPSTEIN -- 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 SERVICES, THE  HEALTH  CARE  PLAN
SHALL,  AFTER  THE INITIAL PAYMENT, PAY ANY ADDITIONAL AMOUNTS IT DETER-
MINES IS REASONABLE DIRECTLY TO THE NON-PARTICIPATING HOSPITAL.

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

Co-Sponsors

view additional co-sponsors

Multi-Sponsors

A264A (ACTIVE) - Details

See Senate Version of this Bill:
S3171
Current Committee:
Senate Rules
Law Section:
Financial Services Law
Laws Affected:
Amd §§605, 608 & 604, Fin Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10470, S7868
2017-2018: A7611, S4241

A264A (ACTIVE) - Summary

Establishes patient protections from excessive hospital emergency charges; includes hospital charges, including hospital charges for inpatient services which follow an emergency room visit.

A264A (ACTIVE) - Bill Text download pdf


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

                                 264--A

                       2019-2020 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 9, 2019
                               ___________

Introduced  by  M.  of  A.  CAHILL, COLTON, ARROYO, JEAN-PIERRE, TAYLOR,
  McDONOUGH -- Multi-Sponsored by -- M. of A. EPSTEIN -- read  once  and
  referred  to  the Committee on Insurance -- committee discharged, bill
  amended, ordered reprinted as amended and recommitted to said  commit-
  tee

AN  ACT  to  amend  the  financial  services law, in relation to patient
  protections from excess hospital 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,
INCLUDING  A  BILL FOR INPATIENT SERVICES WHICH FOLLOW AN EMERGENCY ROOM
VISIT, 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  twenty-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  thou-
sand 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  SERVICES, THE HEALTH CARE PLAN

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

Co-Sponsors

view additional co-sponsors

Multi-Sponsors

A264B (ACTIVE) - Details

See Senate Version of this Bill:
S3171
Current Committee:
Senate Rules
Law Section:
Financial Services Law
Laws Affected:
Amd §§605, 608 & 604, Fin Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10470, S7868
2017-2018: A7611, S4241

A264B (ACTIVE) - Summary

Establishes patient protections from excessive hospital emergency charges; includes hospital charges, including hospital charges for inpatient services which follow an emergency room visit.

A264B (ACTIVE) - Bill Text download pdf


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

                                 264--B

                       2019-2020 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 9, 2019
                               ___________

Introduced  by  M.  of  A.  CAHILL, COLTON, ARROYO, JEAN-PIERRE, TAYLOR,
  McDONOUGH, JACOBSON -- Multi-Sponsored by -- M. of A. EPSTEIN --  read
  once   and  referred  to  the  Committee  on  Insurance  --  committee
  discharged, bill amended, ordered reprinted as amended and recommitted
  to said committee -- again reported from said  committee  with  amend-
  ments, ordered reprinted as amended and recommitted to said committee

AN  ACT to amend the financial services law, in relation to establishing
  protections from excess hospital 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,
INCLUDING  A  BILL FOR INPATIENT SERVICES WHICH FOLLOW AN EMERGENCY ROOM
VISIT, 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  twenty-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  thou-
sand 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

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

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