Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 06, 2016 |
referred to insurance |
Jan 12, 2015 |
referred to insurance |
Assembly Bill A1710
2015-2016 Legislative Session
Sponsored By
ZEBROWSKI
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
Actions
2015-A1710 (ACTIVE) - Details
2015-A1710 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 1710 2015-2016 Regular Sessions I N A S S E M B L Y January 12, 2015 ___________ Introduced by M. of A. ZEBROWSKI -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to imposing a penalty for failing to comply with notification requirements concerning certain managed health care products THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph 1 of subsection (a) of section 4803 of the insur- ance law, as amended by chapter 237 of the laws of 2009, is amended to read as follows: (1) (A) An insurer which offers a managed care product shall, upon request, make available and disclose to health care professionals writ- ten application procedures and minimum qualification requirements which a health care professional must meet in order to be considered by the insurer for participation in the in-network benefits portion of the insurer's network for the managed care product. The insurer shall consult with appropriately qualified health care professionals in devel- oping its qualification requirements for participation in the in-network benefits portion of the insurer's network for the managed care product. An insurer shall complete review of the health care professional's application to participate in the in-network portion of the insurer's network and, within ninety days of receiving a health care profes- sional's completed application to participate in the insurer's network, will notify the health care professional as to: [(A)] (I) whether he or she is credentialed; or [(B)] (II) whether additional time is necessary to make a determination in spite of the insurer's best efforts or because of a failure of a third party to provide necessary documenta- tion, or non-routine or unusual circumstances require additional time for review. In such instances where additional time is necessary because of a lack of necessary documentation, an insurer shall make every effort to obtain such information as soon as possible. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD00530-01-5
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