senate Bill S4305

2021-2022 Legislative Session

Relates to the designation of an independent consumer assistance program

download bill text pdf

Sponsored By

Current Bill Status - In Senate Committee Insurance Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

view actions (1)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Feb 03, 2021 referred to insurance

S4305 (ACTIVE) - Details

See Assembly Version of this Bill:
A1733
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Add §211, Ins L
Versions Introduced in 2019-2020 Legislative Session:
S5145, A7754

S4305 (ACTIVE) - Summary

Relates to the designation of an independent consumer assistance program to assist consumers with the filing of complaints and appeals, track problems, educate consumers, assist uninsured, insured, or underinsured consumers in accessing appropriate health care services, assist with enrollment and provide other health insurance assistance.

S4305 (ACTIVE) - Sponsor Memo

S4305 (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   4305
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                             February 3, 2021
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed to the Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to the designation of  an
   independent consumer assistance program
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. The insurance law is amended by adding a new section 211 to
 read as follows:
   § 211. INDEPENDENT CONSUMER ASSISTANCE PROGRAM. THE SUPERINTENDENT, IN
 CONSULTATION WITH THE COMMISSIONER OF HEALTH, SHALL DESIGNATE  AN  INDE-
 PENDENT CONSUMER ASSISTANCE PROGRAM THAT WILL HAVE THE FOLLOWING DUTIES:
   (A) THE INDEPENDENT CONSUMER ASSISTANCE PROGRAM SHALL:
   (1)  ASSIST  CONSUMERS  WITH  THE  FILING  OF  COMPLAINTS AND APPEALS,
 INCLUDING FILING APPEALS WITH THE INTERNAL APPEAL OR  GRIEVANCE  PROCESS
 OF  THE  GROUP  HEALTH  PLANS  OR  HEALTH INSURANCE ISSUERS INVOLVED AND
 PROVIDING INFORMATION ABOUT AND ASSISTING CONSUMERS  WITH  THE  EXTERNAL
 APPEALS AND ADMINISTRATIVE HEARING PROCESS;
   (2) COLLECT, TRACK, AND QUANTIFY PROBLEMS AND INQUIRIES ENCOUNTERED BY
 CONSUMERS;
   (3)  EDUCATE  CONSUMERS  ON  THEIR  RIGHTS  AND  RESPONSIBILITIES WITH
 RESPECT TO GROUP HEALTH PLANS AND HEALTH INSURANCE COVERAGE;
   (4) ASSIST CONSUMERS WITH ENROLLMENT IN A GROUP HEALTH PLAN OR  HEALTH
 INSURANCE COVERAGE BY PROVIDING INFORMATION, REFERRAL, AND ASSISTANCE;
   (5)  RESOLVE PROBLEMS WITH OBTAINING PREMIUM TAX CREDITS UNDER SECTION
 36B OF THE INTERNAL REVENUE CODE OF 1986;
   (6) ASSIST CONSUMERS WITH DISPUTES ELIGIBLE FOR RESOLUTION UNDER ARTI-
 CLE SIX OF THE FINANCIAL SERVICES LAW;
   (7) ASSIST UNINSURED, INSURED, OR UNDERINSURED CONSUMERS IN  ACCESSING
 APPROPRIATE  HEALTH  CARE SERVICES, HOSPITAL FINANCIAL ASSISTANCE OR THE
 RESOLUTION OF THEIR HEALTH CARE BILLS; AND
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD00383-01-1

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