Legislation

Search OpenLegislation Statutes

This entry was published on 2023-05-12
The selection dates indicate all change milestones for the entire volume, not just the location being viewed. Specifying a milestone date will retrieve the most recent version of the location before that date.
SECTION 606
Hold harmless for insureds from bills for emergency services and surprise bills
Financial Services Law (FIS) CHAPTER 18-A, ARTICLE 6
§ 606. Hold harmless for insureds from bills for emergency services
and surprise bills. (a) A non-participating provider shall not bill an
insured for a surprise bill except for any applicable copayment,
coinsurance or deductible that would be owed if the insured utilized a
participating provider.

* (b) A non-participating provider shall not bill an insured for
emergency services, including inpatient services which follow an
emergency room visit, except for any applicable copayment, coinsurance
or deductible that would be owed if the insured utilized a participating
provider.

* NB Effective until January 1, 2025 and shall remain in effect until
after the superintendent of financial services and the commissioner of
health have promulgated regulations

* (b) A non-participating provider shall not bill an insured for
emergency services, including inpatient services which follow an
emergency room visit, or for services rendered by a mobile crisis
intervention services provider licensed, certified, or designated by the
office of mental health or the office of addiction services and
supports, except for any applicable copayment, coinsurance or deductible
that would be owed if the insured utilized a participating provider.

* NB Effective January 1, 2025 but shall not take effect until after
the superintendent of financial services and the commissioner of health
have promulgated regulations