Assembly Bill A2811

2019-2020 Legislative Session

Relates to discounting uninsured dental 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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2019-A2811 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §4224, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: A8141
2021-2022: A2392

2019-A2811 (ACTIVE) - Summary

Prevents an insurance or managed care company from including in any insurance or managed care contract any provisions that require a dentist to provide services to a covered person at a fee set by or at a fee subject to the approval of the insurer or managed care entity unless such services are covered under the person's dental plan.

2019-A2811 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   2811
 
                        2019-2020 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 25, 2019
                                ___________
 
 Introduced  by  M.  of  A.  CYMBROWITZ  -- read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to discounting  uninsured
   dental services
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Section 4224 of the insurance law is amended  by  adding  a
 new subsection (g) to read as follows:
   (G) NOTWITHSTANDING ANY OTHER PROVISION OF THIS SECTION, NO INSURER OR
 MANAGED  CARE  ENTITY  AUTHORIZED  TO  DO  BUSINESS  IN THIS STATE SHALL
 INCLUDE ANY PROVISION IN ANY OF  ITS  CONTRACTS  WITH  A  DENTIST  WHICH
 REQUIRES  THAT  A  DENTIST PROVIDE SERVICES TO A COVERED PERSON AT A FEE
 SET BY, OR AT A FEE SUBJECT TO THE APPROVAL OF, THE INSURER  OR  MANAGED
 CARE  ENTITY  UNLESS THE DENTAL SERVICES ARE A COVERED SERVICE UNDER THE
 PERSON'S  DENTAL  PLAN.  FOR  PURPOSES  OF  THIS  SUBSECTION,   "COVERED
 SERVICES"  SHALL  MEAN DENTAL CARE SERVICES FOR WHICH A REIMBURSEMENT IS
 AVAILABLE UNDER AN ENROLLEE'S PLAN CONTRACT, OR FOR WHICH  A  REIMBURSE-
 MENT  WOULD  BE AVAILABLE BUT FOR THE APPLICATION OF CONTRACTUAL LIMITA-
 TIONS SUCH AS DEDUCTIBLES,  COPAYMENTS,  COINSURANCE,  WAITING  PERIODS,
 ANNUAL  OR LIFETIME MAXIMUMS, FREQUENCY LIMITATIONS, ALTERNATIVE BENEFIT
 PAYMENTS, OR ANY OTHER LIMITATION.
   § 2. This act shall take effect on January 1, 2020, and shall apply to
 all insurance and managed care contracts issued or entered  into  on  or
 after January 1, 2020.
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD07412-01-9

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