Senate Bill S6544A

Signed By Governor
2019-2020 Legislative Session

Establishes protections from excess hospital charges

download bill text pdf

Sponsored By

Archive: Last Bill Status - Signed by Governor


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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Bill Amendments

2019-S6544 - Details

See Assembly Version of this Bill:
A8404
Law Section:
Financial Services Law
Laws Affected:
Amd §§605 & 604, Fin Serv L; amd §4, Chap of 2019 (as proposed in S.3171-A & A.264-B); amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L

2019-S6544 - Summary

Establishes protections from excess hospital charges.

2019-S6544 - Sponsor Memo

2019-S6544 - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6544
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                               June 15, 2019
                                ___________
 
 Introduced  by  Sen. KRUEGER -- read twice and ordered printed, and when
   printed to be committed to the Committee on Rules
 
 AN ACT to amend the financial services law, the public  health  law  and
   the insurance law, in relation to establishing protections from excess
   hospital charges; and to amend a chapter of the laws of 2019, amending
   the  financial  services law relating to establishing protections from
   excess hospital charges, as proposed in legislative bills  numbers  S.
   3171-A and A.  264-B, in relation to the effectiveness thereof
 
   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 amended by  a
 chapter  of the laws of 2019, amending the financial services law relat-
 ing  to  establishing  protections  from  excess  hospital  charges,  as
 proposed in legislative bills numbers S. 3171-A and A. 264-B, 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.  IF AN INSURED ASSIGNS
 BENEFITS TO  A  NON-PARTICIPATING  HOSPITAL  IN  RELATION  TO  EMERGENCY
 SERVICES  PROVIDED  BY SUCH NON-PARTICIPATING HOSPITAL, THE NON-PARTICI-
 PATING HOSPITAL MAY BILL THE HEALTH CARE PLAN FOR THE EMERGENCY SERVICES
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

co-Sponsors

2019-S6544A (ACTIVE) - Details

See Assembly Version of this Bill:
A8404
Law Section:
Financial Services Law
Laws Affected:
Amd §§605 & 604, Fin Serv L; amd §4, Chap of 2019 (as proposed in S.3171-A & A.264-B); amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L

2019-S6544A (ACTIVE) - Summary

Establishes protections from excess hospital charges.

2019-S6544A (ACTIVE) - Sponsor Memo

2019-S6544A (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  6544--A
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                               June 15, 2019
                                ___________
 
 Introduced  by  Sens. KRUEGER, RIVERA -- read twice and ordered printed,
   and when printed to be committed to the Committee on Rules --  commit-
   tee  discharged, bill amended, ordered reprinted as amended and recom-
   mitted to said committee
 
 AN ACT to amend the financial services law, the public  health  law  and
   the insurance law, in relation to establishing protections from excess
   hospital charges; and to amend a chapter of the laws of 2019, amending
   the  financial  services law relating to establishing protections from
   excess hospital charges, as proposed in legislative bills  numbers  S.
   3171-A and A.  264-B, in relation to the effectiveness thereof
 
   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 amended by  a
 chapter  of the laws of 2019, amending the financial services law relat-
 ing  to  establishing  protections  from  excess  hospital  charges,  as
 proposed in legislative bills numbers S. 3171-A and A. 264-B, 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.  IF AN INSURED ASSIGNS
 BENEFITS TO  A  NON-PARTICIPATING  HOSPITAL  IN  RELATION  TO  EMERGENCY
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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