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Assembly Bill A8713

Signed By Governor

2021-2022 Legislative Session

Relates to the satisfaction of requirements for an explanation of benefits for certain pharmaceutical claims

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Archive: Last Bill Status Via S7692 - Signed by Governor

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2021-A8713 (ACTIVE) - Details

See Senate Version of this Bill:
S7692
Law Section:
Insurance Law
Laws Affected:
Amd §3244, Ins L; amd §2, Chap of 2021 (as proposed in S.7075 & A.3516)

2021-A8713 (ACTIVE) - Summary

Relates to the satisfaction of requirements for an explanation of benefits for certain pharmaceutical claims.

2021-A8713 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8713
 
                           I N  A S S E M B L Y
 
                             January 11, 2022
                                ___________
 
 Introduced by M. of A. McDONALD -- read once and referred to the Commit-
   tee on Insurance
 
 AN  ACT  to  amend the insurance law, in relation to the satisfaction of
   requirements for an explanation of benefits for certain pharmaceutical
   claims; and to amend a chapter of the laws of 2021 amending the insur-
   ance law  relating  to  requiring  insurers  to  provide  insureds  or
   subscribers with an explanation of pharmaceutical benefits relating to
   claims  under  certain  accident  and  health  insurance  policies, as
   proposed in legislative bills numbers S. 7075 and A. 3516, in relation
   to the effectiveness thereof
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Section 3244 of the insurance law, as renumbered by a chap-
 ter of the laws of 2021 amending the insurance law relating to requiring
 insurers to provide insureds or subscribers with an explanation of phar-
 maceutical benefits relating to claims under certain accident and health
 insurance  policies,  as  proposed in legislative bills numbers S.  7075
 and A. 3516, is amended by adding  a  new  subsection  (e)  to  read  as
 follows:
   (E)  THE  PROVISIONS OF THIS SECTION REQUIRING AN EXPLANATION OF BENE-
 FITS FORM FOR PHARMACEUTICAL CLAIMS SHALL BE SATISFIED BY EITHER A QUAR-
 TERLY WRITTEN SUMMARY OF THE INFORMATION PRESCRIBED BY SUBSECTION (B) OF
 THIS SECTION OR BY MAKING SUCH INFORMATION AVAILABLE  ELECTRONICALLY  ON
 THE  MEMBER  PORTAL OF THE INSURER'S, HEALTH MAINTENANCE ORGANIZATION'S,
 OR ARTICLE FORTY-THREE ORGANIZATION'S WEBSITE, PROVIDED THAT THE  MEMBER
 CONSENTS TO RECEIVING THE INFORMATION ELECTRONICALLY.
   § 2. Section 2 of a chapter of the laws of 2021 amending the insurance
 law  relating  to  requiring insurers to provide insureds or subscribers
 with an explanation of pharmaceutical benefits relating to claims  under
 certain  accident and health insurance policies, as proposed in legisla-
 tive bills numbers S. 7075 and A. 3516, is amended to read as follows:
   § 2. This act shall take effect [on the sixtieth day  after  it  shall
 have  become  a law] JANUARY 1, 2022 and shall apply to all claims filed
 on and after such effective date. Effective  immediately  the  addition,
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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