Senate Bill S6341

2019-2020 Legislative Session

Requires health insurers to provide health care providers with the coverage a policyholder or covered person has, when liability is unclear

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance 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-S6341 (ACTIVE) - Details

Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §3224-a, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: S7370
2017-2018: S5779

2019-S6341 (ACTIVE) - Summary

Requires health insurers to provide health care providers with the coverage a policyholder or covered person has, when liability for a health care claim is not reasonably clear.

2019-S6341 (ACTIVE) - Sponsor Memo

2019-S6341 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6341
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                               June 5, 2019
                                ___________
 
 Introduced  by  Sen. BRESLIN -- read twice and ordered printed, and when
   printed to be committed to the Committee on Rules
 
 AN ACT to amend the insurance  law,  in  relation  to  requiring  health
   insurers  to  provide,  when  liability  for a claim is not reasonably
   clear, the coverage the policyholder or covered person is enrolled in

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  2  of  subsection (b) of section 3224-a of the
 insurance law, as amended by chapter 237 of the laws of 2009, is amended
 and a new paragraph 3 is added to read as follows:
   (2) to request all additional information needed to determine  liabil-
 ity to pay the claim or make the health care payment[.]; AND
   (3)  OF  THE  SPECIFIC  TYPE  OF  PLAN  OR PRODUCT THE POLICYHOLDER OR
 COVERED PERSON IS ENROLLED IN; PROVIDED THAT  NOTHING  IN  THIS  SECTION
 SHALL AUTHORIZE DISCRIMINATION BASED ON THE SOURCE OF PAYMENT.
   §  2. Subsection (d) of section 3224-a of the insurance law is amended
 by adding a new paragraph 3 to read as follows:
   (3) "PLAN OR PRODUCT" SHALL MEAN:
   (I) MEDICAID COVERAGE CERTIFIED  PURSUANT  TO  SECTION  THREE  HUNDRED
 SIXTY-FOUR-J OF THE SOCIAL SERVICES LAW;
   (II) A CHILD HEALTH INSURANCE PLAN CERTIFIED PURSUANT TO SECTION TWEN-
 TY-FIVE HUNDRED ELEVEN OF THE PUBLIC HEALTH LAW;
   (III)  BASIC  HEALTH  PROGRAM  COVERAGE  CERTIFIED PURSUANT TO SECTION
 THREE HUNDRED SIXTY-NINE-GG OF THE SOCIAL SERVICES  LAW,  INCLUDING  THE
 SPECIFIC RATING GROUP THE POLICYHOLDER OR COVERED PERSON IS ENROLLED IN;
   (IV) COVERAGE PURCHASED ON THE NEW YORK INSURANCE EXCHANGE ESTABLISHED
 PURSUANT TO ARTICLE SIXTY-TWO OF THIS CHAPTER; AND
   (V)  ANY  OTHER PRODUCT FULLY INSURED AND REGULATED BY THE STATE UNDER
 ARTICLE FORTY-TWO, FORTY-THREE, OR FORTY-SEVEN OF THIS CHAPTER, OR ARTI-
 CLE FORTY-FOUR OF THE PUBLIC HEALTH LAW.
   § 3. This act shall take effect July 1, 2020.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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