S T A T E O F N E W Y O R K
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10297
I N A S S E M B L Y
May 13, 2022
___________
Introduced by COMMITTEE ON RULES -- (at request of M. of A. Septimo) --
read once and referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to increasing certain
monetary limits under the comprehensive motor vehicle insurance repa-
rations act
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraphs 2 and 3 of subsection (a) of section 5102 of the
insurance law, paragraph 2 as amended by chapter 320 of the laws of
1991, are amended to read as follows:
(2) Loss of earnings from work which the person would have performed
had he not been injured, and reasonable and necessary expenses incurred
by such person in obtaining services in lieu of those that he would have
performed for income, up to [two] THREE thousand dollars per month for
not more than three years from the date of the accident causing the
injury. An employee who is entitled to receive monetary payments, pursu-
ant to statute or contract with the employer, or who receives voluntary
monetary benefits paid for by the employer, by reason of the employee's
inability to work because of personal injury arising out of the use or
operation of a motor vehicle, is not entitled to receive first party
benefits for "loss of earnings from work" to the extent that such mone-
tary payments or benefits from the employer do not result in the employ-
ee suffering a reduction in income or a reduction in the employee's
level of future benefits arising from a subsequent illness or injury.
(3) [All] ANY AND ALL other reasonable and necessary expenses incurred
INCLUDING, WITHOUT LIMITATION, MEDICAL TRANSPORTATION, NON-MEDICAL
TRANSPORTATION, PET CARE SERVICES, HOUSE CLEANING SERVICES, LAUNDRY
SERVICES, AND FOOD PREPARATION AND DELIVERY SERVICES, up to [twenty-
five] FIFTY dollars per day for not more than one year from the date of
the accident causing the injury. IN DETERMINING WHETHER AN "OTHER
EXPENSE" IS REASONABLE AND NECESSARY, THE CERTIFICATION OF A TREATING
PHYSICIAN THAT THE CLAIMANT WAS DISABLED FROM WORK DURING THE RELEVANT
PERIOD CONSTITUTES PRIMA FACIE PROOF THAT THE EXPENSE WAS REASONABLE AND
NECESSARY.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD10760-03-1
A. 10297 2
§ 2. Subsection (b) of section 5102 of the insurance law is amended to
read as follows:
(b) "First party benefits" means payments to reimburse a person for
basic economic loss on account of personal injury arising out of the use
or operation of a motor vehicle, less:
(1) Twenty percent of lost earnings computed pursuant to paragraph two
of subsection (a) of this section, PROVIDED, HOWEVER, THAT SUCH TWENTY
PERCENT SHALL NOT COUNT TOWARDS THE FIFTY THOUSAND DOLLAR LIMIT FOR
BASIC ECONOMIC LOSS PER PERSON DESCRIBED IN SUBSECTION (A) OF THIS
SECTION.
(2) Amounts recovered or recoverable on account of such injury under
state or federal laws providing social security disability benefits, or
workers' compensation benefits, or disability benefits under article
nine of the workers' compensation law, or medicare benefits, other than
lifetime reserve days and provided further that the medicare benefits
utilized herein do not result in a reduction of such person's medicare
benefits for a subsequent illness or injury.
(3) Amounts deductible under the applicable insurance policy.
§ 3. This act shall take effect immediately.