Senate Bill S4097

Signed By Governor
2023-2024 Legislative Session

Requires New York State health benefit plan hospital pricing report

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Sponsored By

Current Bill Status - 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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Bill Amendments

2023-S4097 - Details

Law Section:
Civil Service Law
Laws Affected:
Amd §162, Civ Serv L

2023-S4097 - Summary

Directs the president of the civil service commission to collect health care claims data relating to the price and utilization of hospital benefits by active employees, retired employees and their dependents and to publish a New York State health benefit plan hospital pricing report.

2023-S4097 - Sponsor Memo

2023-S4097 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   4097
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                             February 3, 2023
                                ___________
 
 Introduced by Sen. GOUNARDES -- read twice and ordered printed, and when
   printed to be committed to the Committee on Civil Service and Pensions
 
 AN  ACT  to  amend the civil service law, in relation to certain reports
   relating to health benefits for state and retired state employees

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subdivision 9 of section 162 of the civil service law, as
 added by chapter 147 of the laws of 2014, is amended to read as follows:
   9. (A) (I) As soon as is practicable, but no later than the  first  of
 September,  two  thousand  fourteen, the department shall, upon request,
 but no more frequently than semi-annually, provide to any  participating
 employer  a  standard  report which contains data relating to the use of
 benefits by persons covered under the plan by such employer. Such report
 shall include: premiums paid by month for  each  month  covered  in  the
 report  and  paid  claims  by  month  for  the  following  categories of
 services: inpatient hospital, outpatient hospital, in  network  medical,
 out  of network medical, prescription drugs, and treatment of behavioral
 conditions, each reported separately. To the extent allowed by state and
 federal privacy laws, such report shall also contain claims  information
 for  individual claimants for claims in excess of fifty thousand dollars
 that were paid in any of the months covered by the report.
   (II) The department shall provide such reports  to  any  participating
 employer, upon request submitted on or after the first of April for data
 from  the  first  of January through the thirty-first of December of the
 prior year, and on or after the first of September  for  data  from  the
 first  of  June of the prior year through the thirty-first of May of the
 current year, within thirty days of receipt of  said  request.  However,
 requests  submitted  in the two thousand fourteen calendar year shall be
 provided as soon as practicable, but no later than the first of  Septem-
 ber,  two thousand fourteen, or within thirty days after said request if
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD08351-01-3
 S. 4097                             2
              

2023-S4097A - Details

Law Section:
Civil Service Law
Laws Affected:
Amd §162, Civ Serv L

2023-S4097A - Summary

Directs the president of the civil service commission to collect health care claims data relating to the price and utilization of hospital benefits by active employees, retired employees and their dependents and to publish a New York State health benefit plan hospital pricing report.

2023-S4097A - Sponsor Memo

2023-S4097A - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  4097--A
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                             February 3, 2023
                                ___________
 
 Introduced by Sen. GOUNARDES -- read twice and ordered printed, and when
   printed to be committed to the Committee on Civil Service and Pensions
   --  committee  discharged,  bill amended, ordered reprinted as amended
   and recommitted to said committee
 
 AN ACT to amend the civil service law, in relation  to  certain  reports
   relating to health benefits for state and retired state employees
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 9 of section 162 of the civil service  law,  as
 added by chapter 147 of the laws of 2014, is amended to read as follows:
   9.  (A)  (I) As soon as is practicable, but no later than the first of
 September, two thousand fourteen, the department  shall,  upon  request,
 but  no more frequently than semi-annually, provide to any participating
 employer a standard report which contains data relating to  the  use  of
 benefits by persons covered under the plan by such employer. Such report
 shall  include:  premiums  paid  by  month for each month covered in the
 report and  paid  claims  by  month  for  the  following  categories  of
 services:  inpatient  hospital, outpatient hospital, in network medical,
 out of network medical, prescription drugs, and treatment of  behavioral
 conditions, each reported separately. To the extent allowed by state and
 federal  privacy laws, such report shall also contain claims information
 for individual claimants for claims in excess of fifty thousand  dollars
 that were paid in any of the months covered by the report.
   (II)  The  department  shall provide such reports to any participating
 employer, upon request submitted on or after the first of April for data
 from the first of January through the thirty-first of  December  of  the
 prior  year,  and  on  or after the first of September for data from the
 first of June of the prior year through the thirty-first of May  of  the
 current  year,  within  thirty days of receipt of said request. However,
 requests submitted in the two thousand fourteen calendar year  shall  be
 provided  as soon as practicable, but no later than the first of Septem-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD08351-03-3
              

2023-S4097B (ACTIVE) - Details

Law Section:
Civil Service Law
Laws Affected:
Amd §162, Civ Serv L

2023-S4097B (ACTIVE) - Summary

Directs the president of the civil service commission to collect health care claims data relating to the price and utilization of hospital benefits by active employees, retired employees and their dependents and to publish a New York State health benefit plan hospital pricing report.

2023-S4097B (ACTIVE) - Sponsor Memo

2023-S4097B (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  4097--B
     Cal. No. 606
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                             February 3, 2023
                                ___________
 
 Introduced by Sen. GOUNARDES -- read twice and ordered printed, and when
   printed to be committed to the Committee on Civil Service and Pensions
   --  committee  discharged,  bill amended, ordered reprinted as amended
   and recommitted to said committee  --  reported  favorably  from  said
   committee,  ordered  to  first  and  second report, ordered to a third
   reading, passed by Senate and delivered  to  the  Assembly,  recalled,
   vote  reconsidered,  restored  to  third  reading, amended and ordered
   reprinted, retaining its place in the order of third reading
 
 AN ACT to amend the civil service law, in relation  to  certain  reports
   relating to health benefits for state and retired state employees
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision 9 of section 162 of the civil service  law,  as
 added by chapter 147 of the laws of 2014, is amended to read as follows:
   9.  (A)  (I) As soon as is practicable, but no later than the first of
 September, two thousand fourteen, the department  shall,  upon  request,
 but  no more frequently than semi-annually, provide to any participating
 employer a standard report which contains data relating to  the  use  of
 benefits by persons covered under the plan by such employer. Such report
 shall  include:  premiums  paid  by  month for each month covered in the
 report and  paid  claims  by  month  for  the  following  categories  of
 services:  inpatient  hospital, outpatient hospital, in network medical,
 out of network medical, prescription drugs, and treatment of  behavioral
 conditions, each reported separately. To the extent allowed by state and
 federal  privacy laws, such report shall also contain claims information
 for individual claimants for claims in excess of fifty thousand  dollars
 that were paid in any of the months covered by the report.
   (II)  The  department  shall provide such reports to any participating
 employer, upon request submitted on or after the first of April for data
 from the first of January through the thirty-first of  December  of  the
 prior  year,  and  on  or after the first of September for data from the
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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