Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 08, 2020 |
referred to insurance |
Oct 23, 2019 |
referred to rules |
Senate Bill S6790
2019-2020 Legislative Session
Sponsored By
(D) 36th Senate District
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
Actions
co-Sponsors
(D, WF) Senate District
(D) Senate District
(D, WF) 31st Senate District
(D, WF) 28th Senate District
2019-S6790 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A1187
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Add §§4242 & 4905-a, Ins L; add §4905-a, Pub Health L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010:
A8592
2011-2012: A199
2013-2014: A3520
2015-2016: A263, A9051
2017-2018: A1938
2021-2022: S3506, A5629
2023-2024: S1782, A842
2019-S6790 (ACTIVE) - Sponsor Memo
BILL NUMBER: S6790 SPONSOR: BAILEY TITLE OF BILL: An act to amend the insurance law and the public health law, in relation to enacting the "health insurance preauthori- zation disclosure act" PURPOSE: This legislation would require health insurance companies to provide participating physicians and health care providers with a list of treat- ments and services that require preauthorization so that health care providers can anticipate seeking authorization for such treatments and deliver care more efficiently. SUMMARY OF SPECIFIC PROVISIONS: Section I titles the bill. Section I amends the insurance law by adding a new section 4242 which stipulates that every health insurance company shall be required to
2019-S6790 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 6790 2019-2020 Regular Sessions I N S E N A T E October 23, 2019 ___________ Introduced by Sen. BAILEY -- read twice and ordered printed, and when printed to be committed to the Committee on Rules AN ACT to amend the insurance law and the public health law, in relation to enacting the "health insurance preauthorization disclosure act" THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Short title. This act shall be known and may be cited as the "health insurance preauthorization disclosure act". § 2. The insurance law is amended by adding a new section 4242 to read as follows: § 4242. HEALTH INSURANCE COMPANIES; PREAUTHORIZATION FOR HEALTH CARE SERVICES. EVERY HEALTH CARE INSURANCE COMPANY SHALL BE REQUIRED TO PROVIDE PARTICIPATING PHYSICIANS AND HEALTH CARE PROVIDERS, AS DEFINED IN SUBDIVISION SEVEN OF SECTION TWENTY-NINE HUNDRED EIGHTY OF THE PUBLIC HEALTH LAW, WITH AN UPDATED LIST OF HEALTH CARE TREATMENTS AND SERVICES THAT REQUIRE PREAUTHORIZATION OR PRECERTIFICATION FROM SUCH HEALTH CARE INSURANCE COMPANY. SUCH LIST SHALL BE DEVELOPED BASED UPON CONSULTATION WITH MEDICAL GUIDELINES DEVELOPED BY THE RELEVANT MEDICAL SPECIALTY ORGANIZATION AND IN CONSULTATION WITH APPROPRIATELY TRAINED PHYSICIANS PRACTICING WITHIN THE REGION THE HEALTH CARE INSURANCE COMPANY SERVES. SUCH LIST SHALL BE UPDATED ANNUALLY OR MORE FREQUENTLY AS APPROPRIATE. ONLY THOSE HEALTH CARE SERVICES WHICH ARE CONTAINED ON SUCH LIST SHALL BE SUBJECT TO PRE-AUTHORIZATION OR PRECERTIFICATION BY THE HEALTH CARE INSURANCE COMPANY. NO HEALTH CARE TREATMENT OR SERVICE SHALL BE ADDED TO THE LIST OF SERVICES REQUIRING PRE-AUTHORIZATION OR PRECERTIFICATION UNLESS THE HEALTH CARE INSURANCE COMPANY PROVIDES A MINIMUM OF NINETY DAYS NOTICE TO PARTICIPATING PHYSICIANS AND HEALTH CARE PROVIDERS. § 3. The public health law is amended by adding a new section 4905-a to read as follows: § 4905-A. PRE-AUTHORIZED SERVICES. EVERY HEALTH CARE PLAN SHALL BE REQUIRED TO DEVELOP AND PROVIDE TO PARTICIPATING HEALTH CARE PROVIDERS A EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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