Assembly Actions - Lowercase Senate Actions - UPPERCASE |
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Oct 17, 2019 | signed chap.375 |
Oct 11, 2019 | delivered to governor |
Jun 18, 2019 | returned to assembly passed senate 3rd reading cal.1598 substituted for s3171a |
Jun 18, 2019 | substituted by a264b ordered to third reading cal.1598 committee discharged and committed to rules |
May 14, 2019 | print number 3171a |
May 14, 2019 | amend (t) and recommit to insurance |
Feb 04, 2019 | referred to insurance |
senate Bill S3171A
Signed By GovernorSponsored By
Liz Krueger
(D, WF) 28th Senate District
Archive: Last Bill Status Via A264 - Signed by Governor
- Introduced
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed by Governor
Your Voice
Actions
Votes
Bill Amendments
Co-Sponsors
James L. Seward
(R, C, IP, RFM) 0 Senate District
Kevin Thomas
(D) 6th Senate District
George A. Amedore, Jr.
(R, C, IP) 0 Senate District
Phil Boyle
(R) 0 Senate District
S3171 - Details
S3171 - Sponsor Memo
BILL NUMBER: S3171 SPONSOR: KRUEGER TITLE OF BILL: An act to amend the financial services law, in relation to establishing protections from excessive hospital emergency charges PURPOSE: This bill subjects hospital charges for emergency services to the inde- pendent dispute resolution process established to protect against exces- sive emergency charges. SUMMARY OF PROVISIONS: Section 1 amends section 605 of the financial services law by including hospital charges in the emergency charges that are subject to the inde- pendent dispute resolution process. It also provides that if a health insurer submits a dispute regarding the hospital's charge to dispute resolution, the health insurer shall pay a reasonable amount for the
S3171 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 3171 2019-2020 Regular Sessions I N S E N A T E February 4, 2019 ___________ Introduced by Sens. KRUEGER, SEWARD, THOMAS, AMEDORE, BOYLE, LIU, MARTI- NEZ, SALAZAR, SEPULVEDA, SKOUFIS -- read twice and ordered printed, and when printed to be committed 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. (3) The independent dispute resolution entity shall make a determi- nation within thirty days of receipt of the dispute for review. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
Co-Sponsors
James L. Seward
(R, C, IP, RFM) 0 Senate District
Fred Akshar
(R, C, IP, RFM) 0 Senate District
George A. Amedore, Jr.
(R, C, IP) 0 Senate District
Brian A. Benjamin
(D) 0 Senate District
S3171A (ACTIVE) - Details
S3171A (ACTIVE) - Sponsor Memo
BILL NUMBER: S3171A SPONSOR: KRUEGER TITLE OF BILL: An act to amend the financial services law, in relation to establishing protections from excess hospital charges PURPOSE: This bill subjects hospital charges for emergency services to the inde- pendent dispute resolution process established to protect against exces- sive emergency charges. SUMMARY OF PROVISIONS: Section 1 amends section 605 of the financial services law by including hospital charges, including bills for inpatient services which follow an emergency room visit, in the emergency charges that are subject to the independent dispute resolution process. It provides that if a health insurer submits a dispute regarding the hospital's charge to dispute resolution, the health insurer shall pay a reasonable amount for the services directly to the hospital. It also exempts hospitals that had at
S3171A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 3171--A 2019-2020 Regular Sessions I N S E N A T E February 4, 2019 ___________ Introduced by Sens. KRUEGER, SEWARD, THOMAS, AMEDORE, BOYLE, GOUNARDES, HARCKHAM, LIU, MARTINEZ, SALAZAR, SEPULVEDA, SKOUFIS -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance -- committee discharged, bill amended, 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 NON-PARTICIPATING HOSPITAL'S EMERGENCY SERVICES, THE HEALTH CARE PLAN EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03101-04-9
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