S T A T E O F N E W Y O R K
________________________________________________________________________
2392
2021-2022 Regular Sessions
I N A S S E M B L Y
January 19, 2021
___________
Introduced by M. of A. CYMBROWITZ -- read once and referred to the
Committee on Insurance
AN ACT to amend the insurance law, in relation to discounting uninsured
dental services
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 4224 of the insurance law is amended by adding a
new subsection (g) to read as follows:
(G) NOTWITHSTANDING ANY OTHER PROVISION OF THIS SECTION, NO INSURER OR
MANAGED CARE ENTITY AUTHORIZED TO DO BUSINESS IN THIS STATE SHALL
INCLUDE ANY PROVISION IN ANY OF ITS CONTRACTS WITH A DENTIST WHICH
REQUIRES THAT A DENTIST PROVIDE SERVICES TO A COVERED PERSON AT A FEE
SET BY, OR AT A FEE SUBJECT TO THE APPROVAL OF, THE INSURER OR MANAGED
CARE ENTITY UNLESS THE DENTAL SERVICES ARE A COVERED SERVICE UNDER THE
PERSON'S DENTAL PLAN. FOR PURPOSES OF THIS SUBSECTION, "COVERED
SERVICES" SHALL MEAN DENTAL CARE SERVICES FOR WHICH A REIMBURSEMENT IS
AVAILABLE UNDER AN ENROLLEE'S PLAN CONTRACT, OR FOR WHICH A REIMBURSE-
MENT WOULD BE AVAILABLE BUT FOR THE APPLICATION OF CONTRACTUAL LIMITA-
TIONS SUCH AS DEDUCTIBLES, COPAYMENTS, COINSURANCE, WAITING PERIODS,
ANNUAL OR LIFETIME MAXIMUMS, FREQUENCY LIMITATIONS, ALTERNATIVE BENEFIT
PAYMENTS, OR ANY OTHER LIMITATION.
§ 2. This act shall take effect January 1, 2022, and shall apply to
all insurance and managed care contracts issued or entered into on or
after January 1, 2022.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD06963-01-1