Assembly Actions - Lowercase Senate Actions - UPPERCASE |
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Jan 08, 2020 | referred to insurance |
Jan 31, 2019 | referred to insurance |
Archive: Last 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
Multi-Sponsors
Ellen C. Jaffee
A3928 (ACTIVE) - Details
- See Senate Version of this Bill:
- S1323
- Current Committee:
- Assembly Insurance
- Law Section:
- Public Health Law
- Laws Affected:
- Amd §4406, Pub Health L; amd §4804, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010: A11385
2011-2012: A3802, S2817
2013-2014: A636, S1083
2015-2016: A3527, S5374
2017-2018: A5409, S948
2021-2022: A8909
2023-2024: A2376
A3928 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 3928 2019-2020 Regular Sessions I N A S S E M B L Y January 31, 2019 ___________ Introduced by M. of A. WEPRIN -- Multi-Sponsored by -- M. of A. JAFFEE -- read once and referred to the Committee on Insurance AN ACT to amend the public health law and the insurance law, in relation to the reimbursement of out-of-network providers of clinical laborato- ry services by organizations providing or offering comprehensive health services plans THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 4406 of the public health law is amended by adding a new subdivision 6 to read as follows: 6. NOTWITHSTANDING ANY OTHER PROVISION OF LAW, IF AN ENROLLEE IS REFERRED BY AN IN-PLAN PROVIDER TO A PROVIDER OF CLINICAL LABORATORY SERVICES NOT PARTICIPATING IN THE PLAN (A "NON-PARTICIPATING PROVIDER") FOR ANY SERVICE COVERED UNDER THE TERMS OF THE PLAN, THE ORGANIZATION SHALL BE RESPONSIBLE FOR PAYMENT DIRECTLY TO THE NON-PARTICIPATING PROVIDER FOR THOSE SERVICES IN ACCORDANCE WITH THE TIME FRAME FOR SUCH PAYMENTS SET FORTH IN SECTION THREE THOUSAND TWO HUNDRED TWENTY-FOUR-A OF THE INSURANCE LAW; PROVIDED, HOWEVER, THAT THE ENROLLEE SHALL BE RESPONSIBLE FOR ANY APPLICABLE COPAY, COINSURANCE OR DEDUCTIBLE FOR SUCH SERVICES. CLINICAL LABORATORIES SEEKING REIMBURSEMENT PURSUANT TO THIS SECTION FOR SERVICES RENDERED SHALL DIRECTLY BILL THE ORGANIZATION WHOSE ENROLLEE RECEIVED THE SERVICES. ANY PAYMENT MADE BY AN ORGANIZATION DIRECTLY TO THE ENROLLEE RATHER THAN TO THE CLINICAL LABORATORY SEEKING REIMBURSEMENT SHALL NOT SATISFY THE ORGANIZATION'S PAYMENT OBLIGATION TO THE CLINICAL LABORATORY. § 2. Section 4804 of the insurance law is amended by adding a new subsection (g) to read as follows: (G) NOTWITHSTANDING ANY OTHER PROVISION OF LAW, IF AN ENROLLEE IS REFERRED BY AN IN-PLAN PROVIDER TO A PROVIDER OF CLINICAL LABORATORY SERVICES NOT PARTICIPATING IN THE PLAN (A "NON-PARTICIPATING PROVIDER") FOR ANY SERVICE COVERED UNDER THE TERMS OF THE PLAN, THE ORGANIZATION EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.