senate Bill S7241

Signed By Governor
2019-2020 Legislative Session

Relates to notice of health consumer assistance

download bill text pdf

Sponsored By

Archive: Last Bill Status Via A9538 - 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 (12)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Dec 02, 2020 approval memo.28
signed chap.318
Nov 20, 2020 delivered to governor
Jul 21, 2020 returned to assembly
passed senate
3rd reading cal.311
substituted for s7241
Jul 21, 2020 substituted by a9538
Feb 03, 2020 advanced to third reading
Jan 29, 2020 2nd report cal.
Jan 28, 2020 1st report cal.311
Jan 13, 2020 referred to health

Co-Sponsors

S7241 (ACTIVE) - Details

See Assembly Version of this Bill:
A9538
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L; amd §4408-a, Pub Health L

S7241 (ACTIVE) - Summary

Relates to notice of health consumer assistance.

S7241 (ACTIVE) - Sponsor Memo

S7241 (ACTIVE) - Bill Text download pdf


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

                                  7241

                            I N  S E N A T E

                            January 13, 2020
                               ___________

Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
  printed to be committed to the Committee on Health

AN ACT to amend the social services law and the public  health  law,  in
  relation to adverse determination notices to Medicaid recipients

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Subdivision 9 of section 364-j of the social services  law,
as  amended  by  chapter  433 of the laws of 1997, is amended to read as
follows:
  9. Managed care providers shall inform participants of such provider's
grievance procedure and utilization review procedures [required pursuant
to sections forty-four hundred eight-c  and]  UNDER  ARTICLE  forty-nine
[hundred]  of  the  public  health law. A managed care provider or local
social services  district,  as  appropriate,  shall  provide  notice  to
participants  of  their  respective  rights  to  a  fair hearing and aid
continuing in accordance with applicable state and federal law.  MANAGED
CARE PROVIDERS SHALL PROVIDE WRITTEN NOTICE OF THE NAME, ADDRESS,  PHONE
NUMBER  AND  WEBSITE  OF THE DEPARTMENT OF HEALTH DESIGNATED INDEPENDENT
CONSUMER ASSISTANCE PROGRAM AND THE INDEPENDENT SUBSTANCE  USE  DISORDER
AND  MENTAL  HEALTH OMBUDSMAN ESTABLISHED BY SECTION 33.27 OF THE MENTAL
HYGIENE LAW ON ALL NOTICES OF  ADVERSE  DETERMINATIONS,  GRIEVANCES  AND
APPEALS.
  §  2.  Paragraph  (b)  of  subdivision  2 and subdivision 7 of section
4408-a of the public health law, as added by chapter 705 of the laws  of
1996, are amended to read as follows:
  (b)  The  notice to an enrollee describing the grievance process shall
explain: (i) the process for filing a grievance with  the  organization;
(ii) the timeframes within which a grievance determination must be made;
[and]  (iii)  the  right of an enrollee to designate a representative to
file a grievance on behalf of the enrollee; AND (IV) NOTICE OF THE NAME,
ADDRESS, PHONE NUMBER AND WEBSITE OF THE DEPARTMENT DESIGNATED  CONSUMER
ASSISTANCE PROGRAM AND THE INDEPENDENT SUBSTANCE USE DISORDER AND MENTAL
HEALTH  OMBUDSMAN ESTABLISHED BY SECTION 33.27 OF THE MENTAL HYGIENE LAW
ON ALL NOTICES OF ADVERSE DETERMINATIONS, GRIEVANCES AND APPEALS.

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

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