S T A T E O F N E W Y O R K
________________________________________________________________________
8885
I N A S S E M B L Y
January 19, 2022
___________
Introduced by M. of A. L. ROSENTHAL -- read once and referred to the
Committee on Insurance
AN ACT to amend the insurance law, in relation to overpayment of insur-
ance claims
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph 1 of subsection (b) of section 3224-b of the
insurance law, as amended by chapter 237 of the laws of 2009, is amended
to read as follows:
(1) Other than recovery for duplicate payments, a health plan shall
provide thirty days written notice to health care providers before
engaging in additional overpayment recovery efforts seeking recovery of
the overpayment of claims to such health care providers. Such notice
shall state the patient name, service date, payment amount, proposed
adjustment, and a reasonably specific explanation of the proposed
adjustment. A HEALTH PLAN SHALL NOT ENGAGE IN ANY OVERPAYMENT RECOVERY
EFFORTS THAT INCLUDE CONTACTING THE PATIENT TO SEEK REIMBURSEMENT FOR
SUCH OVERPAYMENT OF CLAIMS.
§ 2. This act shall take effect on the ninetieth day after it shall
have become a law and shall apply to policies and contracts issued,
renewed, modified, altered or amended on or after such effective date.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD14042-01-1