senate Bill S6544A

Signed By Governor
2019-2020 Legislative Session

Establishes protections from excess hospital charges

download bill text pdf

Sponsored By

Current Bill Status - Signed by Governor


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

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Actions

view actions (13)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Oct 17, 2019 signed chap.377
Oct 11, 2019 delivered to governor
Jun 20, 2019 returned to senate
passed assembly
ordered to third reading rules cal.538
substituted for a8404
Jun 19, 2019 referred to codes
delivered to assembly
passed senate
Jun 18, 2019 ordered to third reading cal.1654
Jun 16, 2019 print number 6544a
Jun 16, 2019 amend and recommit to rules
Jun 15, 2019 referred to rules

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

S6544 - Summary

Establishes protections from excess hospital charges.

S6544 - Sponsor Memo

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

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

S6544A (ACTIVE) - Summary

Establishes protections from excess hospital charges.

S6544A (ACTIVE) - Sponsor Memo

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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