Bill Text: NY A00033 | 2017-2018 | General Assembly | Introduced

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Bill Title: Relates to limits on charges by providers of health services; provides for the superintendent of financial services to set limits for no-fault claims.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2018-01-03 - referred to insurance [A00033 Detail]

Download: New_York-2017-A00033-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                           33
                               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 insurance law, in relation to limits on charges by
          providers of health services
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  Subsections  (a) and (b) of section 5108 of the insurance
     2  law are amended to read as follows:
     3    (a) The charges for services specified in paragraph one of  subsection
     4  (a)  of  section  five  thousand one hundred two of this article and any
     5  further health service charges which are incurred as  a  result  of  the
     6  injury  and which are in excess of basic economic loss, shall not exceed
     7  the charges permissible under  the  [schedules]  schedule  prepared  and
     8  established  by  the  [chairman  of  the workers' compensation board for
     9  industrial accidents] superintendent pursuant to subsection (b) of  this
    10  section,  except where the insurer or arbitrator determines that unusual
    11  procedures or unique circumstances justify the excess charge.
    12    (b) The superintendent[, after consulting with  the  chairman  of  the
    13  workers'  compensation  board  and  the  commissioner  of health,] shall
    14  promulgate rules and  regulations  [implementing  and  coordinating  the
    15  provisions  of  this  article  and  the  workers' compensation law] with
    16  respect to charges for the professional  health  services  specified  in
    17  paragraph one of subsection (a) of section five thousand one hundred two
    18  of  this  article, including the establishment of schedules for all such
    19  services [for which schedules have not been prepared and established  by
    20  the  chairman  of the workers' compensation board]. In establishing such
    21  schedules the superintendent shall ensure  that  provider  reimbursement
    22  rates  accurately  reflect  the  treatment  needs  of no-fault claimants
    23  including the establishment of rates sufficient to  reimburse  specialty
    24  providers who treat no-fault claimants.
    25    § 2. This act shall take effect immediately.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD01673-01-7