Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
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Jan 06, 2010 |
referred to insurance |
Jan 22, 2009 |
referred to insurance |
Senate Bill S1053
2009-2010 Legislative Session
Sponsored By
(R) Senate District
Archive: Last Bill Status - In Senate Committee Insurance 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
co-Sponsors
(R, C, IP) Senate District
(R, C, IP) Senate District
(R, C) Senate District
(R, C, IP) Senate District
2009-S1053 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A5090
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd ยงยง3216, 3221, 4303, 4402, 4413 & 4301, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2011-2012:
S176
2013-2014: S1106
2009-S1053 (ACTIVE) - Summary
Provides that health insurance coverage may not deny reimbursements because the registered laboratory providing laboratory services has not been approved by the insurer or other entity; provides that in such case the insured pays excess costs therefor above the covered benefit.
2009-S1053 (ACTIVE) - Sponsor Memo
BILL NUMBER: S1053 TITLE OF BILL : An act to amend the insurance law, in relation to health insurance coverage and eligibility for employee benefits provided by employee welfare funds for laboratory services PURPOSE : To prohibit the denial of health insurance coverage for pharmaceuticals strictly because the registered pharmacy providing the pharmaceutical products has not been approved by the health insurance plan. SUMMARY OF PROVISIONS : Amends sections 3216, 3221, 4301, 4303, 4402 and 4413 of the New York State Insurance Law to provide that health insurance coverage providers may not deny reimbursements because the registered pharmacy providing pharmaceutical products has not been approved by the insurer or other entity. This amendment would require individuals who select a pharmacy that is not part of the insurer's panel to be responsible for paying any differential between the benefits provided under the health care insurance contract and the cost of the services selected. The fund, employer or union would be precluded from denying eligibility for
2009-S1053 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 1053 2009-2010 Regular Sessions I N S E N A T E January 22, 2009 ___________ Introduced by Sens. MAZIARZ, FLANAGAN, GOLDEN, VOLKER -- 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 health insurance coverage and eligibility for employee benefits provided by employee welfare funds for laboratory services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subsection (i) of section 3216 of the insurance law is amended by adding a new paragraph 26 to read as follows: (26) NO SUCH POLICY SHALL LIMIT BENEFITS OR DENY REIMBURSEMENT FOR BENEFITS TO ANY INSURED ON THE BASIS THAT THE LABORATORY PROVIDING SUCH BENEFITS HAS NOT BEEN SPECIFICALLY SELECTED OR APPROVED. IF THE INSURED, HIS OR HER DEPENDENTS OR BOTH RECEIVE SERVICES FROM A LABORATORY OF THEIR OWN CHOOSING, SUCH INSURED SHALL PAY THE COST OF SUCH LABORATORY SERVICES TO THE EXTENT THAT SUCH COST EXCEEDS THE BENEFITS PROVIDED UNDER THE POLICY WITHOUT FORFEITURE OF THE BENEFITS PROVIDED UNDER SUCH POLICY. NO SUCH POLICY SHALL PROHIBIT A DULY REGISTERED LABORATORY FROM PROVIDING SERVICES, PROVIDED SUCH LABORATORY AGREES TO PROVIDE SUCH SERVICES IN ACCORDANCE WITH THE MINIMUM STANDARDS AND CONDITIONS FOR SIMILAR PROVIDERS THAT HAVE BEEN ESTABLISHED BY SUCH POLICY. S 2. Subsection (e) of section 3221 of the insurance law is amended by adding a new paragraph 12 to read as follows: (12) NO SUCH GROUP OR BLANKET POLICY SHALL LIMIT BENEFITS OR DENY REIMBURSEMENT FOR BENEFITS TO ANY INSURED ON THE BASIS THAT THE LABORA- TORY PROVIDING SUCH BENEFITS HAS NOT BEEN SPECIFICALLY SELECTED OR APPROVED BY THE GROUP OR BLANKET POLICY. IF THE INSURED, HIS OR HER DEPENDENTS OR BOTH RECEIVE SERVICES FROM A LABORATORY OF THEIR OWN CHOOSING, SUCH INSURED SHALL PAY THE COST OF SUCH LABORATORY SERVICES TO THE EXTENT THAT SUCH COST EXCEEDS THE BENEFITS PROVIDED UNDER THE GROUP OR BLANKET POLICY WITHOUT FORFEITURE OF THE BENEFITS PROVIDED UNDER SUCH EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD01170-01-9
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