NY State Assembly Bill 2015-A1064A

Assembly Bill A1064A

2015-2016 Legislative Session

Requires health insurers to accept payments for coverage of health care from third parties

download bill text pdf

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

Please enter your contact information

First Name

Last Name

Email Address

A valid email address is required.

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.

Actions

View Actions

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Apr 04, 2016	print number 1064a
Apr 04, 2016	amend and recommit to insurance
Jan 06, 2016	referred to insurance
Jan 08, 2015	referred to insurance

Bill Amendments

Original

A (Active)

2015-A1064 - Details

Current Committee:: Assembly Insurance
Law Section:: Public Health Law
Laws Affected:: Amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
Versions Introduced in Other Legislative Sessions:: 2013-2014: A10091
2017-2018: A27
2019-2020: A144
2021-2022: A1096

2015-A1064 - Summary

Requires health insurers to accept payments for coverage of health care from third parties.

2015-A1064 - Bill Text download pdf

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

                                  1064

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                             January 8, 2015
                               ___________

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

AN ACT to amend the public health law and the insurance law, in relation
  to requiring health insurers to accept third party payments for cover-
  age

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

  Section 1. Section 4406-c of the  public  health  law  is  amended  by
adding a new subdivision 9 to read as follows:
  9. WITH REGARD TO A SUBSCRIBER CONTRACT OFFERED THROUGH THE INDIVIDUAL
MARKET,  A  HEALTH  MAINTENANCE ORGANIZATION SHALL NOT BY CONTRACT OR IN
ANY OTHER MANNER REFUSE TO ACCEPT PREMIUM OR ANY REQUIRED  COST  SHARING
PAYMENTS  FROM  THIRD  PARTIES  IF  MADE  BY (A) AN INDIAN TRIBE, TRIBAL
ORGANIZATION, URBAN INDIAN ORGANIZATION, OR ANY STATE OR FEDERAL GOVERN-
MENT PROGRAM OR GRANTEE (SUCH AS THE RYAN  WHITE  HIV/AIDS  PROGRAM)  ON
BEHALF  OF  AN ENROLLEE, OR (B) A PRIVATE, NOT-FOR-PROFIT FOUNDATION, ON
BEHALF OF AN ENROLLEE WHO SATISFIES DEFINED CRITERIA THAT ARE  BASED  ON
FINANCIAL  STATUS  AND  DO  NOT  CONSIDER HEALTH STATUS, AND THE PAYMENT
COVERS THE ENTIRE POLICY YEAR.
  S 2. Section 3217-b of the insurance law is amended by  adding  a  new
subsection (k) to read as follows:
  (K)  WITH REGARD TO AN INSURANCE POLICY OFFERED THROUGH THE INDIVIDUAL
MARKET, AN INSURER SHALL NOT BY CONTRACT OR IN ANY OTHER  MANNER  REFUSE
TO  ACCEPT  PREMIUM  OR  ANY  REQUIRED  COST SHARING PAYMENTS FROM THIRD
PARTIES IF MADE BY (1) AN INDIAN TRIBE, TRIBAL ORGANIZATION, URBAN INDI-
AN ORGANIZATION, OR ANY STATE OR FEDERAL GOVERNMENT PROGRAM  OR  GRANTEE
(SUCH  AS  THE  RYAN WHITE HIV/AIDS PROGRAM) ON BEHALF OF AN INSURED, OR
(2) A PRIVATE, NOT-FOR-PROFIT FOUNDATION, ON BEHALF OF  AN  INSURED  WHO
SATISFIES DEFINED CRITERIA THAT ARE BASED ON FINANCIAL STATUS AND DO NOT
CONSIDER HEALTH STATUS, AND THE PAYMENT COVERS THE ENTIRE POLICY YEAR.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD06407-01-5

A. 1064                             2

  S  3.  Section  4325  of  the insurance law is amended by adding a new
subsection (1) to read as follows:
  (1)  WITH REGARD TO AN INSURANCE CONTRACT OFFERED THROUGH THE INDIVID-
UAL MARKET, A CORPORATION ORGANIZED UNDER  THIS  ARTICLE  SHALL  NOT  BY
CONTRACT OR IN ANY OTHER MANNER REFUSE TO ACCEPT PREMIUM OR ANY REQUIRED
COST SHARING PAYMENTS FROM THIRD PARTIES IF MADE BY (1) AN INDIAN TRIBE,
TRIBAL  ORGANIZATION, URBAN INDIAN ORGANIZATION, OR ANY STATE OR FEDERAL
GOVERNMENT PROGRAM OR GRANTEE (SUCH AS THE RYAN WHITE HIV/AIDS  PROGRAM)
ON  BEHALF OF A SUBSCRIBER, OR (2) A PRIVATE, NOT-FOR-PROFIT FOUNDATION,
ON BEHALF OF A SUBSCRIBER WHO SATISFIES DEFINED CRITERIA THAT ARE  BASED
ON  FINANCIAL  STATUS  AND  DO  NOT  CONSIDER HEALTH STATUS, AND PAYMENT
COVERS THE ENTIRE POLICY YEAR.
  S 4. This act shall take effect January 1, 2016.

2015-A1064A (ACTIVE) - Details

Current Committee:: Assembly Insurance
Law Section:: Public Health Law
Laws Affected:: Amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
Versions Introduced in Other Legislative Sessions:: 2013-2014: A10091
2017-2018: A27
2019-2020: A144
2021-2022: A1096

2015-A1064A (ACTIVE) - Summary

Requires health insurers to accept payments for coverage of health care from third parties.

2015-A1064A (ACTIVE) - Bill Text download pdf

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

                                 1064--A

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                             January 8, 2015
                               ___________

Introduced by M. of A. CAHILL -- read once and referred to the Committee
  on  Insurance  -- recommitted to the Committee on Insurance in accord-
  ance with Assembly Rule  3,  sec.  2  --  committee  discharged,  bill
  amended,  ordered reprinted as amended and recommitted to said commit-
  tee

AN ACT to amend the public health law and the insurance law, in relation
  to requiring health insurers to accept third party payments for cover-
  age

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

  Section  1.  Section  4406-c  of  the  public health law is amended by
adding a new subdivision 9 to read as follows:
  9. WITH REGARD TO A SUBSCRIBER CONTRACT OFFERED THROUGH THE INDIVIDUAL
MARKET, A HEALTH MAINTENANCE ORGANIZATION SHALL NOT BY  CONTRACT  OR  IN
ANY  OTHER  MANNER REFUSE TO ACCEPT PREMIUM OR ANY REQUIRED COST SHARING
PAYMENTS FROM THIRD PARTIES IF MADE  BY  (A)  AN  INDIAN  TRIBE,  TRIBAL
ORGANIZATION, URBAN INDIAN ORGANIZATION, OR ANY STATE OR FEDERAL GOVERN-
MENT  PROGRAM  OR  GRANTEE  (SUCH AS THE RYAN WHITE HIV/AIDS PROGRAM) ON
BEHALF OF AN ENROLLEE, OR (B) A PRIVATE, NOT-FOR-PROFIT  FOUNDATION,  ON
BEHALF  OF  AN ENROLLEE WHO SATISFIES DEFINED CRITERIA THAT ARE BASED ON
FINANCIAL STATUS AND DO NOT CONSIDER  HEALTH  STATUS,  AND  THE  PAYMENT
COVERS THE ENTIRE POLICY YEAR.
  S  2.  Section  3217-b of the insurance law is amended by adding a new
subsection (k) to read as follows:
  (K) WITH REGARD TO AN INSURANCE POLICY OFFERED THROUGH THE  INDIVIDUAL
MARKET,  AN  INSURER SHALL NOT BY CONTRACT OR IN ANY OTHER MANNER REFUSE
TO ACCEPT PREMIUM OR ANY  REQUIRED  COST  SHARING  PAYMENTS  FROM  THIRD
PARTIES IF MADE BY (1) AN INDIAN TRIBE, TRIBAL ORGANIZATION, URBAN INDI-
AN  ORGANIZATION,  OR ANY STATE OR FEDERAL GOVERNMENT PROGRAM OR GRANTEE
(SUCH AS THE RYAN WHITE HIV/AIDS PROGRAM) ON BEHALF OF  AN  INSURED,  OR
(2)  A  PRIVATE,  NOT-FOR-PROFIT FOUNDATION, ON BEHALF OF AN INSURED WHO

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD06407-02-6

A. 1064--A                          2

SATISFIES DEFINED CRITERIA THAT ARE BASED ON FINANCIAL STATUS AND DO NOT
CONSIDER HEALTH STATUS, AND THE PAYMENT COVERS THE ENTIRE POLICY YEAR.
  S  3.  Section  4325  of  the insurance law is amended by adding a new
subsection (l) to read as follows:
  (L) WITH REGARD TO AN INSURANCE CONTRACT OFFERED THROUGH THE  INDIVID-
UAL  MARKET,  A  CORPORATION  ORGANIZED  UNDER THIS ARTICLE SHALL NOT BY
CONTRACT OR IN ANY OTHER MANNER REFUSE TO ACCEPT PREMIUM OR ANY REQUIRED
COST SHARING PAYMENTS FROM THIRD PARTIES IF MADE BY (1) AN INDIAN TRIBE,
TRIBAL ORGANIZATION, URBAN INDIAN ORGANIZATION, OR ANY STATE OR  FEDERAL
GOVERNMENT  PROGRAM OR GRANTEE (SUCH AS THE RYAN WHITE HIV/AIDS PROGRAM)
ON BEHALF OF A SUBSCRIBER, OR (2) A PRIVATE, NOT-FOR-PROFIT  FOUNDATION,
ON  BEHALF OF A SUBSCRIBER WHO SATISFIES DEFINED CRITERIA THAT ARE BASED
ON FINANCIAL STATUS AND DO  NOT  CONSIDER  HEALTH  STATUS,  AND  PAYMENT
COVERS THE ENTIRE POLICY YEAR.
  S 4. This act shall take effect January 1, 2017.

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.