Assembly Bill A5817A

Signed By Governor
2023-2024 Legislative Session

Requires New York State health benefit plan hospital pricing report

download bill text pdf

Sponsored By

Current Bill Status Via S4097 - Signed by Governor


  • 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

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Bill Amendments

co-Sponsors

2023-A5817 - Details

See Senate Version of this Bill:
S4097
Law Section:
Civil Service Law
Laws Affected:
Amd §162, Civ Serv L

2023-A5817 - Summary

Directs the president of the civil service commission to collect health care claims data relating to the price and utilization of hospital benefits by active employees, retired employees and their dependents and to publish a New York State health benefit plan hospital pricing report.

2023-A5817 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5817
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 23, 2023
                                ___________
 
 Introduced  by M. of A. SOLAGES -- read once and referred to the Commit-
   tee on Governmental Employees
 
 AN ACT to amend the civil service law, in relation  to  certain  reports
   relating to health benefits for state and retired state employees
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 9 of section 162 of the civil service  law,  as
 added by chapter 147 of the laws of 2014, is amended to read as follows:
   9.  (A)  (I) As soon as is practicable, but no later than the first of
 September, two thousand fourteen, the department  shall,  upon  request,
 but  no more frequently than semi-annually, provide to any participating
 employer a standard report which contains data relating to  the  use  of
 benefits by persons covered under the plan by such employer. Such report
 shall  include:  premiums  paid  by  month for each month covered in the
 report and  paid  claims  by  month  for  the  following  categories  of
 services:  inpatient  hospital, outpatient hospital, in network medical,
 out of network medical, prescription drugs, and treatment of  behavioral
 conditions, each reported separately. To the extent allowed by state and
 federal  privacy laws, such report shall also contain claims information
 for individual claimants for claims in excess of fifty thousand  dollars
 that were paid in any of the months covered by the report.
   (II)  The  department  shall provide such reports to any participating
 employer, upon request submitted on or after the first of April for data
 from the first of January through the thirty-first of  December  of  the
 prior  year,  and  on  or after the first of September for data from the
 first of June of the prior year through the thirty-first of May  of  the
 current  year,  within  thirty days of receipt of said request. However,
 requests submitted in the two thousand fourteen calendar year  shall  be
 provided  as soon as practicable, but no later than the first of Septem-
 ber, two thousand fourteen, or within thirty days after said request  if
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD08351-04-3
 A. 5817                             2
              

co-Sponsors

2023-A5817A (ACTIVE) - Details

See Senate Version of this Bill:
S4097
Law Section:
Civil Service Law
Laws Affected:
Amd §162, Civ Serv L

2023-A5817A (ACTIVE) - Summary

Directs the president of the civil service commission to collect health care claims data relating to the price and utilization of hospital benefits by active employees, retired employees and their dependents and to publish a New York State health benefit plan hospital pricing report.

2023-A5817A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  5817--A
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 23, 2023
                                ___________
 
 Introduced  by  M.  of  A. SOLAGES, RIVERA, HEVESI, SANTABARBARA -- read
   once and referred  to  the  Committee  on  Governmental  Employees  --
   reported  and referred to the Committee on Ways and Means -- committee
   discharged, bill amended, ordered reprinted as amended and recommitted
   to said committee

 AN ACT to amend the civil service law, in relation  to  certain  reports
   relating to health benefits for state and retired state employees
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 9 of section 162 of the civil service  law,  as
 added by chapter 147 of the laws of 2014, is amended to read as follows:
   9.  (A)  (I) As soon as is practicable, but no later than the first of
 September, two thousand fourteen, the department  shall,  upon  request,
 but  no more frequently than semi-annually, provide to any participating
 employer a standard report which contains data relating to  the  use  of
 benefits by persons covered under the plan by such employer. Such report
 shall  include:  premiums  paid  by  month for each month covered in the
 report and  paid  claims  by  month  for  the  following  categories  of
 services:  inpatient  hospital, outpatient hospital, in network medical,
 out of network medical, prescription drugs, and treatment of  behavioral
 conditions, each reported separately. To the extent allowed by state and
 federal  privacy laws, such report shall also contain claims information
 for individual claimants for claims in excess of fifty thousand  dollars
 that were paid in any of the months covered by the report.
   (II)  The  department  shall provide such reports to any participating
 employer, upon request submitted on or after the first of April for data
 from the first of January through the thirty-first of  December  of  the
 prior  year,  and  on  or after the first of September for data from the
 first of June of the prior year through the thirty-first of May  of  the
 current  year,  within  thirty days of receipt of said request. However,
 requests submitted in the two thousand fourteen calendar year  shall  be
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD08351-06-3
              

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