Assembly Bill A9019A

2023-2024 Legislative Session

Relates to required terms for certain insurance contracts

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Sponsored By

Current Bill Status - On Floor Calendar


  • 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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Bill Amendments

co-Sponsors

2023-A9019 - Details

See Senate Version of this Bill:
S8414
Law Section:
Insurance Law
Laws Affected:
Amd §§3217-b & 4325, Ins L; amd §4406-c, Pub Health L

2023-A9019 - Summary

Includes permissible payment methods, advance consent for direct payments, and annually providing the updated rate schedule as required terms for certain insurance contracts.

2023-A9019 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   9019
 
                           I N  A S S E M B L Y
 
                             February 5, 2024
                                ___________
 
 Introduced  by M. of A. WOERNER, THIELE, GLICK -- read once and referred
   to the Committee on Insurance
 
 AN ACT to amend the insurance law, in relation  to  required  terms  for
   certain insurance contracts
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph 3 of subsection (e)  of  section  3217-b  of  the
 insurance  law, as added by chapter 586 of the laws of 1998,  is amended
 and three new subparagraphs 3-a, 3-b  and  3-c  are  added  to  read  as
 follows:
   (3)  a description of the records or information relied upon to calcu-
 late any such payments and adjustments, INCLUDING THE DATE  OF  SERVICE,
 PATIENT  IDENTIFICATION  NUMBER,  AN  IDENTIFICATION  OF THE SERVICE FOR
 WHICH THE PAYMENT IS MADE, THE REIMBURSEMENT PAID BY THE INSURER FOR THE
 SERVICE, and a description of how the provider can access a  summary  of
 such calculations and adjustments;
   (3-A)  THE PERMISSIBLE PAYMENT METHODS AS CASH, CHECK, DIRECT DEPOSIT,
 DEBIT OR CREDIT CARD OR ONLINE PAYMENT SYSTEM, PROVIDED THE HEALTH  CARE
 PROVIDER  CAN  ACCESS  HIS OR HER PAYMENT IN FULL, WITHOUT ENCUMBRANCES,
 COSTS, CHARGES, OR FEES, INCLUDING A FEE FOR REPLACEMENT OF  A  LOST  OR
 STOLEN CHECK;
   (3-B) THE ADVANCE WRITTEN CONSENT OF A PROVIDER TO THE INSURER FOR THE
 METHOD  OF  PAYMENT AND TO DIRECTLY PAY OR DEPOSIT PAYMENTS IN A BANK OR
 OTHER FINANCIAL INSTITUTION OF THE PROVIDER'S CHOOSING;
   (3-C) THE INSURER'S ANNUAL OBLIGATION, BEGINNING ON THE EFFECTIVE DATE
 OF THIS PARAGRAPH AND CONTINUING EVERY FIRST OF JANUARY  THEREAFTER,  TO
 PROVIDE  THE HEALTH CARE PROVIDER WITH AN UPDATED PAYMENT RATE SCHEDULE,
 INCLUDING A DESCRIPTION OF ANY SERVICES BUNDLED WITHIN  A  SINGLE  RATE,
 AND  THE  MEDIAN RATE PAID BY THE INSURER FOR COMPARABLE SERVICES WITHIN
 THE PROVIDER'S SERVICE AREA;
   § 2. This act shall take effect on the thirtieth day  after  it  shall
 have  become  a  law  and  shall  apply  to  all contracts entered into,
 renewed, modified or amended on or after such effective date.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD14217-01-4
              

co-Sponsors

2023-A9019A (ACTIVE) - Details

See Senate Version of this Bill:
S8414
Law Section:
Insurance Law
Laws Affected:
Amd §§3217-b & 4325, Ins L; amd §4406-c, Pub Health L

2023-A9019A (ACTIVE) - Summary

Includes permissible payment methods, advance consent for direct payments, and annually providing the updated rate schedule as required terms for certain insurance contracts.

2023-A9019A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  9019--A
 
                           I N  A S S E M B L Y
 
                             February 5, 2024
                                ___________
 
 Introduced by M. of A. WOERNER, THIELE, GLICK, McDONALD, BICHOTTE HERME-
   LYN -- read once and referred to the Committee on Insurance -- commit-
   tee  discharged, bill amended, ordered reprinted as amended and recom-
   mitted to said committee
 
 AN ACT to amend the insurance law and the public health law, in relation
   to required terms for certain insurance contracts

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  3  of  subsection (e) of section 3217-b of the
 insurance law, as added by chapter 586 of the laws of 1998,  is  amended
 and three new paragraphs 3-a, 3-b and 3-c are added to read as follows:
   (3)  a description of the records or information relied upon to calcu-
 late any such payments and adjustments, INCLUDING THE DATE  OF  SERVICE,
 PATIENT  IDENTIFICATION  NUMBER,  AN  IDENTIFICATION  OF THE SERVICE FOR
 WHICH THE PAYMENT IS MADE, THE REIMBURSEMENT PAID BY THE INSURER FOR THE
 SERVICE, and a description of how the provider can access a  summary  of
 such calculations and adjustments;
   (3-A)  THE PERMISSIBLE PAYMENT METHODS AS CHECK, DIRECT DEPOSIT, DEBIT
 OR CREDIT CARD OR  ONLINE  PAYMENT  SYSTEM,  PROVIDED  THE  HEALTH  CARE
 PROVIDER  CAN  ACCESS  THE PAYMENT IN FULL, WITHOUT ENCUMBRANCES, COSTS,
 CHARGES, OR FEES, INCLUDING A FEE FOR REPLACEMENT OF A  LOST  OR  STOLEN
 CHECK, UNDER AT LEAST ONE PAYMENT METHOD OFFERED BY THE INSURER;
   (3-B) THE ADVANCE WRITTEN CONSENT OF A PROVIDER TO THE INSURER FOR THE
 METHOD  OF  PAYMENT AND TO DIRECTLY PAY OR DEPOSIT PAYMENTS IN A BANK OR
 OTHER FINANCIAL INSTITUTION OF THE PROVIDER'S CHOOSING;
   (3-C) THE INSURER'S ANNUAL OBLIGATION, BEGINNING ON THE EFFECTIVE DATE
 OF THIS PARAGRAPH AND CONTINUING EVERY FIRST OF JANUARY  THEREAFTER,  TO
 PROVIDE THE HEALTH CARE PROVIDER WITH AN UPDATED PAYMENT RATE SCHEDULE;
   §  2.  Paragraph  3 of subsection (e) of section 4325 of the insurance
 law, as added by chapter 586 of the laws of 1998, is amended  and  three
 new paragraphs 3-a, 3-b and 3-c are added to read as follows:
   (3)  a description of the records or information relied upon to calcu-
 late any such payments and adjustments, INCLUDING THE DATE  OF  SERVICE,
 PATIENT  IDENTIFICATION  NUMBER,  AN  IDENTIFICATION  OF THE SERVICE FOR
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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