Assembly Bill A5185

2021-2022 Legislative Session

Relates to payment of claims submitted by healthcare agencies

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Assembly Committee


  • 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

Do you support this bill?

Please enter your contact information

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.
Actions

co-Sponsors

2021-A5185 (ACTIVE) - Details

See Senate Version of this Bill:
S2533
Current Committee:
Assembly Ways And Means
Law Section:
Public Health Law
Laws Affected:
Amd §3621, Pub Health L
Versions Introduced in Other Legislative Sessions:
2013-2014: A9262
2015-2016: A379
2017-2018: A564
2019-2020: A2864, S5646
2023-2024: S6046

2021-A5185 (ACTIVE) - Summary

Relates to payment of claims submitted by healthcare agencies.

2021-A5185 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5185
 
                        2021-2022 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 11, 2021
                                ___________
 
 Introduced by M. of A. ABINANTI -- read once and referred to the Commit-
   tee on Health
 
 AN  ACT to amend the public health law, in relation to payment of claims
   submitted by healthcare agencies
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1.  Section 3621 of the public health law, as added by section
 57-a  of part A of chapter 56 of the laws of 2013, is amended to read as
 follows:
   § 3621. Payment of claims. 1. Notwithstanding any law to the contrary,
 the provisions of section thirty-two hundred twenty-four-a of the insur-
 ance law, and regulations thereunder, shall apply to claims for  payment
 submitted by a licensed home care services agency, certified home health
 agency, long term home health care program, or fiscal intermediary oper-
 ating  under  section  three hundred sixty-five-f of the social services
 law, pursuant to a  contract  with  a  payor  under  section  forty-four
 hundred three-f of this chapter or section three hundred sixty-four-j of
 the social services law, and such claims shall be subject to and settled
 in compliance with the standards set forth in such section.
   2. THE PAYOR SHALL PAY A CLEAN CLAIM (A) WITHIN THIRTY DAYS OF RECEIPT
 OF  A  CLAIM THAT IS TRANSMITTED VIA THE INTERNET OR ELECTRONIC MAIL, OR
 (B) WITHIN FORTY-FIVE DAYS OF RECEIPT OF A CLAIM THAT  IS  SUBMITTED  BY
 OTHER MEANS, SUCH AS PAPER OR FACSIMILE.
   3.  THE  PAYOR  SHALL PAY ANY UNDISPUTED PORTION OF A CLAIM AS A CLEAN
 CLAIM AS SET FORTH IN SUBDIVISION TWO OF THIS SECTION. THE  PAYOR  SHALL
 NOTIFY  A PROVIDER UNDER THIS ARTICLE IN WRITING WITHIN FIFTEEN CALENDAR
 DAYS OF THE RECEIPT OF AN INITIAL  CLAIM  OF  ALL  SPECIFIC  DEFECTS  OR
 DISPUTES  OF  SUCH  CLAIM  AND SPECIFICALLY REQUEST IN WRITING THE ADDI-
 TIONAL INFORMATION OR REMEDY NEEDED TO PROCESS ANY DISPUTED PORTIONS  OF
 THE  CLAIM. NO FURTHER DEFECT OR DISPUTE OF THE CLAIM MAY BE ASSERTED BY
 THE PAYOR, UNLESS IT IS ASSERTED ON THE BASIS OF NEW INFORMATION  RELAT-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.