Bill Text: NY A00027 | 2017-2018 | General Assembly | Introduced
Bill Title: Requires health insurers to accept payments for coverage of health care from third parties.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2018-01-03 - referred to insurance [A00027 Detail]
Download: New_York-2017-A00027-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 27 2017-2018 Regular Sessions IN ASSEMBLY (Prefiled) January 4, 2017 ___________ Introduced by M. of A. CAHILL -- read once and referred to the Committee on Insurance AN ACT to amend the public health law and the insurance law, in relation to requiring health insurers to accept third party payments for cover- age The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 4406-c of the public health law is amended by 2 adding a new subdivision 9 to read as follows: 3 9. With regard to a subscriber contract offered through the individual 4 market, a health maintenance organization shall not by contract or in 5 any other manner refuse to accept premium or any required cost sharing 6 payments from third parties if made by (a) an Indian tribe, tribal 7 organization, urban Indian organization, or any state or federal govern- 8 ment program or grantee (such as the Ryan White HIV/AIDS program) on 9 behalf of an enrollee, or (b) a private, not-for-profit foundation, on 10 behalf of an enrollee who satisfies defined criteria that are based on 11 financial status and do not consider health status, and the payment 12 covers the entire policy year. 13 § 2. Section 3217-b of the insurance law is amended by adding a new 14 subsection (k) to read as follows: 15 (k) With regard to an insurance policy offered through the individual 16 market, an insurer shall not by contract or in any other manner refuse 17 to accept premium or any required cost sharing payments from third 18 parties if made by (1) an Indian tribe, tribal organization, urban Indi- 19 an organization, or any state or federal government program or grantee 20 (such as the Ryan White HIV/AIDS program) on behalf of an insured, or 21 (2) a private, not-for-profit foundation, on behalf of an insured who 22 satisfies defined criteria that are based on financial status and do not 23 consider health status, and the payment covers the entire policy year. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD01313-01-7A. 27 2 1 § 3. Section 4325 of the insurance law is amended by adding a new 2 subsection (l) to read as follows: 3 (l) With regard to an insurance contract offered through the individ- 4 ual market, a corporation organized under this article shall not by 5 contract or in any other manner refuse to accept premium or any required 6 cost sharing payments from third parties if made by (1) an Indian tribe, 7 tribal organization, urban Indian organization, or any state or federal 8 government program or grantee (such as the Ryan White HIV/AIDS program) 9 on behalf of a subscriber, or (2) a private, not-for-profit foundation, 10 on behalf of a subscriber who satisfies defined criteria that are based 11 on financial status and do not consider health status, and payment 12 covers the entire policy year. 13 § 4. This act shall take effect January 1, 2018.