Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 05, 2022 |
referred to insurance |
Jan 14, 2021 |
referred to insurance |
Assembly Bill A1983
2021-2022 Legislative Session
Sponsored By
DILAN
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
John T. McDonald III
2021-A1983 (ACTIVE) - Details
- See Senate Version of this Bill:
- S4787
- Current Committee:
- Assembly Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216 & 3221, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010:
A9773, A8091, S7186
2011-2012: A495, S1119
2013-2014: A635, S2637
2015-2016: A7235, S1513
2017-2018: A2792, S3118
2019-2020: A2765, S4502
2023-2024: A2663, S5753
2021-A1983 (ACTIVE) - Summary
Requires notification to insureds that an out-of-network physician may be used in their procedure, test or surgery and such physician's services shall not be covered by their insurance policy; such services must be covered if the insured person does not receive notification prior to such services or procedure.
2021-A1983 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 1983 2021-2022 Regular Sessions I N A S S E M B L Y January 14, 2021 ___________ Introduced by M. of A. DILAN -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to requiring notification to insured persons that an out-of-network physician may be used in their procedure, test or surgery THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 3216 of the insurance law is amended by adding a new subsection (n) to read as follows: (N) (1) EVERY PERSON INSURED UNDER A POLICY OF ACCIDENT AND HEALTH INSURANCE DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE SHALL BE ENTI- TLED TO NOTIFICATION FROM THE BILLING ENTITY PRIOR TO THE PROCEDURE, TEST OR SURGERY, THAT AN OUT-OF-NETWORK PHYSICIAN MAY BE USED IN SUCH PROCEDURE, TEST OR SURGERY AND SUCH PHYSICIAN'S SERVICES SHALL NOT BE COVERED BY THEIR INSURANCE POLICY. (2) THE PATIENT COSTS OF OUT-OF-NETWORK PHYSICIAN SERVICES SHALL BE COVERED BY THE INSURANCE POLICY OF AN INSURED PERSON IF HE OR SHE HAS NOT RECEIVED NOTIFICATION OF SUCH SITUATIONS, PRIOR TO THE HEALTH SERVICE OR PROCEDURE, AS PRESCRIBED IN PARAGRAPH ONE OF THIS SUBSECTION. § 2. Section 3221 of the insurance law is amended by adding a new subsection (u) to read as follows: (U) (1) EVERY PERSON INSURED UNDER A POLICY OF ACCIDENT AND HEALTH INSURANCE DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE SHALL BE ENTI- TLED TO NOTIFICATION FROM THE BILLING ENTITY PRIOR TO THE PROCEDURE, TEST OR SURGERY, THAT AN OUT-OF-NETWORK PHYSICIAN MAY BE USED IN SUCH PROCEDURE, TEST OR SURGERY AND SUCH PHYSICIAN'S SERVICES SHALL NOT BE COVERED BY THEIR INSURANCE POLICY. (2) THE PATIENT COSTS OF OUT-OF-NETWORK PHYSICIAN SERVICES SHALL BE COVERED BY THE INSURANCE POLICY OF AN INSURED PERSON IF HE OR SHE HAS NOT RECEIVED NOTIFICATION OF SUCH SITUATIONS, PRIOR TO THE HEALTH SERVICE OR PROCEDURE, AS PRESCRIBED IN PARAGRAPH ONE OF THIS SUBSECTION. § 3. This act shall take effect immediately. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
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