Bill Text: NY A03429 | 2009-2010 | General Assembly | Introduced

New York Assembly Bill 3429 (Prior Session Legislation)

Introduced

Bill Title: An act to amend the insurance law, in relation to the processing of certain claims

Spectrum: Partisan Bill (Democrat 16-0)

Status: (Introduced - Dead) 2009-01-27 - referred to insurance [A03429 Detail]

Download: New_York-2009-A03429-Introduced.html

                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         3429
                              2009-2010 Regular Sessions
                                 I N  A S S E M B L Y
                                   January 27, 2009
                                      ___________
       Introduced  by  M.  of A. BRADLEY, CYMBROWITZ, GALEF, FIELDS, BENEDETTO,
         ESPAILLAT, CLARK, PERRY, HOOPER -- Multi-Sponsored  by  --  M.  of  A.
         COLTON,  GREENE,  LATIMER, MAYERSOHN, PAULIN, PHEFFER, SCHIMEL -- read
         once and referred to the Committee on Insurance
       AN ACT to amend the insurance law, in  relation  to  the  processing  of
         certain claims
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. The insurance law is amended by adding a new  section  3240
    2  to read as follows:
    3    S  3240. PROCESSING OF CLAIMS OF SERVICES RENDERED BY SPECIALISTS.  IF
    4  A CLAIM FOR SERVICES  IS  DENIED  BY  AN  INSURANCE  COMPANY  AND  THOSE
    5  SERVICES  WERE  PROVIDED FOR BY AN AMERICAN BOARD OF MEDICAL SPECIALTIES
    6  (ABMS) CERTIFIED SPECIALIST, SUCH SPECIALIST MAY OPT TO HAVE THE  INSUR-
    7  ANCE  COMPANY  HAVE THE CLAIM FOR SERVICES REVIEWED BY AN ABMS CERTIFIED
    8  SPECIALIST IN THE SAME FIELD. IF  THE  REVIEWING  SPECIALIST  DETERMINES
    9  THAT  THE RENDERED SERVICES WERE MEDICALLY NECESSARY, THEN THE INSURANCE
   10  COMPANY SHALL GRANT THE CLAIM.
   11    S 2. This act shall take effect immediately.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD03281-01-9