Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 30, 2025 |
referred to insurance |
Assembly Bill A3947
2025-2026 Legislative Session
Sponsored By
PAULIN
Current 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
2025-A3947 (ACTIVE) - Details
- Current Committee:
- Assembly Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Add §112, Ins L
2025-A3947 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 3947 2025-2026 Regular Sessions I N A S S E M B L Y January 30, 2025 ___________ Introduced by M. of A. PAULIN -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to requiring API to facilitate patient and provider access to health information for enrollees and contract providers 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 112 to read as follows: § 112. INFORMATION FOR ENROLLEES AND CONTRACTED PROVIDERS. (A) COMMENCING JANUARY FIRST, TWO THOUSAND TWENTY-SIX, TO FACILITATE PATIENT AND PROVIDER ACCESS TO HEALTH INFORMATION, ANY HEALTH CARE INSURANCE COMPANY AUTHORIZED IN THIS STATE TO WRITE HEALTH INSURANCE SHALL ESTAB- LISH AND MAINTAIN THE FOLLOWING APPLICATION PROGRAMMING INTERFACES (API) FOR THE BENEFIT OF ENROLLEES AND CONTRACTED PROVIDERS, AS APPLICABLE: (1) PATIENT ACCESS API; (2) PROVIDER DIRECTORY API; AND (3) PAYER-TO-PAYER EXCHANGE API. (B) IN ADDITION TO THE API DESCRIBED IN SUBSECTION (A) OF THIS SECTION, THE DEPARTMENT MAY REQUIRE ANY HEALTH CARE INSURANCE COMPANIES AUTHORIZED TO WRITE HEALTH INSURANCE TO ESTABLISH AND MAINTAIN THE FOLLOWING API, IF AND WHEN FINAL RULES ARE PUBLISHED BY THE FEDERAL GOVERNMENT: (1) PROVIDER ACCESS API; AND (2) PRIOR AUTHORIZATION SUPPORT API. (C) THE API DESCRIBED IN SUBSECTION (B) OF THIS SECTION SHALL BE IN ACCORDANCE WITH STANDARDS PUBLISHED IN A FINAL RULE ISSUED BY THE FEDER- AL CENTERS FOR MEDICARE AND MEDICAID SERVICES AND PUBLISHED IN THE FEDERAL REGISTER, AND SHALL ALIGN WITH FEDERAL EFFECTIVE DATES, INCLUD- ING ENFORCEMENT DELAYS AND SUSPENSIONS, ISSUED BY THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD06912-01-5
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