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