Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 05, 2022 |
referred to insurance |
Jan 06, 2021 |
referred to insurance |
Assembly Bill A866
2021-2022 Legislative Session
Sponsored By
GOTTFRIED
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
Actions
co-Sponsors
Nader sayegh
Harry B. Bronson
2021-A866 (ACTIVE) - Details
2021-A866 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 866 2021-2022 Regular Sessions I N A S S E M B L Y (PREFILED) January 6, 2021 ___________ Introduced by M. of A. GOTTFRIED, SAYEGH -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to requiring health insurers to provide insureds and covered persons the option to assign the payment of emergency services benefits directly to an out of network health care provider THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subsection (c) of section 3241 of the insurance law, as added by section 6 of part H of chapter 60 of the laws of 2014, is amended to read as follows: (c) (1) When an insured or enrollee under a contract or policy that provides coverage for emergency services receives the services from a health care provider that does not participate in the provider network of an insurer, a corporation organized pursuant to article forty-three of this chapter, a municipal cooperative health benefit plan certified pursuant to article forty-seven of this chapter, a health maintenance organization certified pursuant to article forty-four of the public health law, or a student health plan established or maintained pursuant to section one thousand one hundred twenty-four of this chapter ("health care plan"), the health care plan shall ensure that the insured or enrollee shall (A) incur no greater out-of-pocket costs for the emergen- cy services than the insured or enrollee would have incurred with a health care provider that participates in the health care plan's provid- er network AND (B) PROVIDE THE INSURED OR ENROLLEE THE OPTION OF ASSIGN- ING THE PAYMENT OF ANY BENEFITS DUE UNDER SUCH CONTRACT OR POLICY DIRECTLY TO THE HEALTH CARE PROVIDER. WHENEVER, IN ANY HEALTH INSURANCE CLAIM FORM, AN INSURED OR ENROLLEE SPECIFICALLY AUTHORIZES THE PAYMENT OF BENEFITS DIRECTLY TO A HEALTH CARE PROVIDER, THE HEALTH CARE PLAN SHALL MAKE SUCH PAYMENT TO THE HEALTH CARE PROVIDER. (2) For the EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
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