Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 08, 2020 |
referred to insurance |
Jan 28, 2019 |
referred to insurance |
Assembly Bill A2899
2019-2020 Legislative Session
Sponsored By
GOTTFRIED R
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
co-Sponsors
William Magnarelli
Sandy Galef
Amy Paulin
Barbara Lifton
multi-Sponsors
William Colton
Deborah Glick
Fred Thiele
2019-A2899 (ACTIVE) - Details
- See Senate Version of this Bill:
- S873
- Current Committee:
- Assembly Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §3224-b, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010:
A10850
2011-2012: A1538
2013-2014: A5145, S6445
2015-2016: A3354, S720
2017-2018: A3115, S1101
2021-2022: A870
2019-A2899 (ACTIVE) - Summary
Relates to insurer recovery from health care providers; provides that except where there is a reasonable belief of fraud or intentional misconduct, a health plan shall not determine an overpayment amount through the use of extrapolation except with the consent of the health care provider.
2019-A2899 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2899 2019-2020 Regular Sessions I N A S S E M B L Y January 28, 2019 ___________ Introduced by M. of A. GOTTFRIED, MAGNARELLI, GALEF, PAULIN, LIFTON, JAFFEE, ZEBROWSKI, MONTESANO, McDONOUGH, ABINANTI, D'URSO -- Multi- Sponsored by -- M. of A. COLTON, GLICK, THIELE -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to insurer recovery from health care providers THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subsection (b) of section 3224-b of the insurance law is amended by adding two new paragraphs 6 and 7 to read as follows: (6) A HEALTH PLAN SHALL NOT DETERMINE AN OVERPAYMENT AMOUNT THROUGH THE USE OF EXTRAPOLATION EXCEPT WITH THE CONSENT OF THE HEALTH CARE PROVIDER, EXCEPT WHERE THERE IS A REASONABLE BELIEF OF FRAUD OR INTEN- TIONAL MISCONDUCT. (7) A HEALTH CARE PLAN MAY NOT THREATEN TO SANCTION A HEALTH CARE PROVIDER INCLUDING A REPORT TO A RELEVANT DISCIPLINARY BODY AS A RESULT OF A HEALTH CARE PROVIDER CHALLENGING AN ALLEGED OVERPAYMENT EXCEPT WHERE THERE IS A REASONABLE BELIEF OF FRAUD OR INTENTIONAL MISCONDUCT. A HEALTH CARE PLAN FOUND TO HAVE VIOLATED THIS PARAGRAPH SHALL BE SUBJECT TO A FINE OF FIFTY THOUSAND DOLLARS PER VIOLATION. § 2. This act shall take effect immediately. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03433-01-9
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