Assembly Bill A3627

2011-2012 Legislative Session

Relates to reimbursement by insurers for ambulatory services

download bill text pdf

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Archive: Last 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

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2011-A3627 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3221 & 3216, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A11186
2013-2014: A2152
2015-2016: A1463
2017-2018: A1528
2019-2020: A2917

2011-A3627 (ACTIVE) - Summary

Relates to reimbursement by insurers for ambulatory services.

2011-A3627 (ACTIVE) - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  3627

                       2011-2012 Regular Sessions

                          I N  A S S E M B L Y

                            January 26, 2011
                               ___________

Introduced by M. of A. CROUCH -- read once and referred to the Committee
  on Insurance

AN  ACT  to  amend  the  insurance  law, in relation to reimbursement by
  insurers for ambulatory services

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.  Paragraph  15  of  subsection  (l) of section 3221 of the
insurance law is amended by adding a new subparagraph  (F)  to  read  as
follows:
  (F)  AN  INSURER  WHO  ISSUES REIMBURSEMENT UNDER THIS PARAGRAPH SHALL
SUBMIT SUCH PAYMENTS EITHER  DIRECTLY,  TO  THE  PROVIDER,  OR  IF  SUCH
PAYMENTS  ARE  ISSUED  TO  THE  INSURED, THEN IN THE FORM OF A TWO-PARTY
CHECK SPECIFYING THE NAME OF THE INSURED AND THE PROVIDER OF  AMBULATORY
SERVICES;  PROVIDED,  HOWEVER,  IF  THE  INSURED  FURNISHES  A RECORD OF
PAYMENT FOR SUCH SERVICES TO THE INSURER, THE INSURER MAY, IF  SATISFIED
BY SUCH RECORD, ISSUE REIMBURSEMENT SOLELY TO THE INSURED.
  S  2.  Paragraph 24 of subsection (i) of section 3216 of the insurance
law is amended by adding a new subparagraph (F) to read as follows:
  (F) AN INSURER WHO ISSUES REIMBURSEMENT  UNDER  THIS  PARAGRAPH  SHALL
SUBMIT  SUCH  PAYMENTS  EITHER  DIRECTLY,  TO  THE  PROVIDER, OR IF SUCH
PAYMENTS ARE ISSUED TO THE INSURED, THEN IN  THE  FORM  OF  A  TWO-PARTY
CHECK  SPECIFYING THE NAME OF THE INSURED AND THE PROVIDER OF AMBULATORY
SERVICES; PROVIDED, HOWEVER,  IF  THE  INSURED  FURNISHES  A  RECORD  OF
PAYMENT  FOR SUCH SERVICES TO THE INSURER, THE INSURER MAY, IF SATISFIED
BY SUCH RECORD, ISSUE REIMBURSEMENT SOLELY TO THE INSURED.
  S 3. This act shall take effect immediately.


 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD04882-01-1

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