Assembly Bill A8885

2021-2022 Legislative Session

Relates to the overpayment of insurance claims

download bill text pdf

Sponsored By

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

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2021-A8885 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §3224-b, Ins L
Versions Introduced in 2023-2024 Legislative Session:
A1663

2021-A8885 (ACTIVE) - Summary

Prevents health plans from engaging in overpayment recovery efforts that include contacting the patient to seek reimbursement for such overpayment of claims.

2021-A8885 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8885
 
                           I N  A S S E M B L Y
 
                             January 19, 2022
                                ___________
 
 Introduced  by  M.  of  A. L. ROSENTHAL -- read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to overpayment of  insur-
   ance claims
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph 1 of subsection (b)  of  section  3224-b  of  the
 insurance law, as amended by chapter 237 of the laws of 2009, is amended
 to read as follows:
   (1)  Other  than  recovery for duplicate payments, a health plan shall
 provide thirty days written  notice  to  health  care  providers  before
 engaging  in additional overpayment recovery efforts seeking recovery of
 the overpayment of claims to such health  care  providers.  Such  notice
 shall  state  the  patient  name, service date, payment amount, proposed
 adjustment, and  a  reasonably  specific  explanation  of  the  proposed
 adjustment.  A  HEALTH PLAN SHALL NOT ENGAGE IN ANY OVERPAYMENT RECOVERY
 EFFORTS THAT INCLUDE CONTACTING THE PATIENT TO  SEEK  REIMBURSEMENT  FOR
 SUCH OVERPAYMENT OF CLAIMS.
   §  2.  This  act shall take effect on the ninetieth day after it shall
 have become a law and shall apply  to  policies  and  contracts  issued,
 renewed, modified, altered or amended on or after such effective date.
 
 
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD14042-01-1

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