Senate Bill S7241

Signed By Governor
2019-2020 Legislative Session

Relates to notice of health consumer assistance

download bill text pdf

Sponsored By

Archive: Last Bill Status Via A9538 - Signed by Governor

  • 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-S7241 (ACTIVE) - Details

See Assembly Version of this Bill:
A9538
Law Section:
Social Services Law
Laws Affected:
Amd §364-j, Soc Serv L; amd §4408-a, Pub Health L

2019-S7241 (ACTIVE) - Summary

Relates to notice of health consumer assistance.

2019-S7241 (ACTIVE) - Sponsor Memo

2019-S7241 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7241
 
                             I N  S E N A T E
 
                             January 13, 2020
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the social services law and the public  health  law,  in
   relation to adverse determination notices to Medicaid recipients
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Subdivision 9 of section 364-j of the social services  law,
 as  amended  by  chapter  433 of the laws of 1997, is amended to read as
 follows:
   9. Managed care providers shall inform participants of such provider's
 grievance procedure and utilization review procedures [required pursuant
 to sections forty-four hundred eight-c  and]  UNDER  ARTICLE  forty-nine
 [hundred]  of  the  public  health law. A managed care provider or local
 social services  district,  as  appropriate,  shall  provide  notice  to
 participants  of  their  respective  rights  to  a  fair hearing and aid
 continuing in accordance with applicable state and federal law.  MANAGED
 CARE PROVIDERS SHALL PROVIDE WRITTEN NOTICE OF THE NAME, ADDRESS,  PHONE
 NUMBER  AND  WEBSITE  OF THE DEPARTMENT OF HEALTH DESIGNATED INDEPENDENT
 CONSUMER ASSISTANCE PROGRAM AND THE INDEPENDENT SUBSTANCE  USE  DISORDER
 AND  MENTAL  HEALTH OMBUDSMAN ESTABLISHED BY SECTION 33.27 OF THE MENTAL
 HYGIENE LAW ON ALL NOTICES OF  ADVERSE  DETERMINATIONS,  GRIEVANCES  AND
 APPEALS.
   §  2.  Paragraph  (b)  of  subdivision  2 and subdivision 7 of section
 4408-a of the public health law, as added by chapter 705 of the laws  of
 1996, are amended to read as follows:
   (b)  The  notice to an enrollee describing the grievance process shall
 explain: (i) the process for filing a grievance with  the  organization;
 (ii) the timeframes within which a grievance determination must be made;
 [and]  (iii)  the  right of an enrollee to designate a representative to
 file a grievance on behalf of the enrollee; AND (IV) NOTICE OF THE NAME,
 ADDRESS, PHONE NUMBER AND WEBSITE OF THE DEPARTMENT DESIGNATED  CONSUMER
 ASSISTANCE PROGRAM AND THE INDEPENDENT SUBSTANCE USE DISORDER AND MENTAL
 HEALTH  OMBUDSMAN ESTABLISHED BY SECTION 33.27 OF THE MENTAL HYGIENE LAW
 ON ALL NOTICES OF ADVERSE DETERMINATIONS, GRIEVANCES AND APPEALS.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

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