Bill Text: NY A01463 | 2015-2016 | General Assembly | Introduced

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Bill Title: Relates to reimbursement by insurers for ambulatory services.

Spectrum: Partisan Bill (Republican 5-0)

Status: (Introduced - Dead) 2016-05-10 - held for consideration in insurance [A01463 Detail]

Download: New_York-2015-A01463-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1463
                              2015-2016 Regular Sessions
                                 I N  A S S E M B L Y
                                   January 12, 2015
                                      ___________
       Introduced by M. of A. CROUCH, HAWLEY, McKEVITT, McLAUGHLIN -- read once
         and referred to the Committee on Insurance
       AN  ACT  to  amend  the  insurance  law, in relation to reimbursement by
         insurers for ambulatory services
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  Paragraph  15  of  subsection  (l) of section 3221 of the
    2  insurance law is amended by adding a new subparagraph  (F)  to  read  as
    3  follows:
    4    (F)  AN  INSURER  WHO  ISSUES REIMBURSEMENT UNDER THIS PARAGRAPH SHALL
    5  SUBMIT SUCH PAYMENTS EITHER  DIRECTLY,  TO  THE  PROVIDER,  OR  IF  SUCH
    6  PAYMENTS  ARE  ISSUED  TO  THE  INSURED, THEN IN THE FORM OF A TWO-PARTY
    7  CHECK SPECIFYING THE NAME OF THE INSURED AND THE PROVIDER OF  AMBULATORY
    8  SERVICES;  PROVIDED,  HOWEVER,  IF  THE  INSURED  FURNISHES  A RECORD OF
    9  PAYMENT FOR SUCH SERVICES TO THE INSURER, THE INSURER MAY, IF  SATISFIED
   10  BY SUCH RECORD, ISSUE REIMBURSEMENT SOLELY TO THE INSURED.
   11    S  2.  Paragraph 24 of subsection (i) of section 3216 of the insurance
   12  law is amended by adding a new subparagraph (F) to read as follows:
   13    (F) AN INSURER WHO ISSUES REIMBURSEMENT  UNDER  THIS  PARAGRAPH  SHALL
   14  SUBMIT  SUCH  PAYMENTS  EITHER  DIRECTLY,  TO  THE  PROVIDER, OR IF SUCH
   15  PAYMENTS ARE ISSUED TO THE INSURED, THEN IN  THE  FORM  OF  A  TWO-PARTY
   16  CHECK  SPECIFYING THE NAME OF THE INSURED AND THE PROVIDER OF AMBULATORY
   17  SERVICES; PROVIDED, HOWEVER,  IF  THE  INSURED  FURNISHES  A  RECORD  OF
   18  PAYMENT  FOR SUCH SERVICES TO THE INSURER, THE INSURER MAY, IF SATISFIED
   19  BY SUCH RECORD, ISSUE REIMBURSEMENT SOLELY TO THE INSURED.
   20    S 3. This act shall take effect immediately.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD05153-01-5