Assembly Bill A1528

2017-2018 Legislative Session

Relates to reimbursement by insurers for ambulatory services

download bill text pdf

Sponsored By

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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2017-A1528 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 3216, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A11186
2011-2012: A3627
2013-2014: A2152
2015-2016: A1463
2019-2020: A2917

2017-A1528 (ACTIVE) - Summary

Relates to reimbursement by insurers for ambulatory services.

2017-A1528 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1528
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 12, 2017
                                ___________
 
 Introduced by M. of A. CROUCH, HAWLEY, McKEVITT, McLAUGHLIN -- 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.
   §  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.
   § 3. This act shall take effect immediately.
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD04363-01-7

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