Bill Text: NY A08119 | 2009-2010 | General Assembly | Introduced

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Bill Title: Permits direct reimbursement to ambulance services for prehospital emergency medical services.

Spectrum: Slight Partisan Bill (Democrat 8-4)

Status: (Introduced - Dead) 2010-06-09 - held for consideration in insurance [A08119 Detail]

Download: New_York-2009-A08119-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         8119
                              2009-2010 Regular Sessions
                                 I N  A S S E M B L Y
                                      May 5, 2009
                                      ___________
       Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
         tee on Insurance
       AN ACT to amend the insurance law,  in  relation  to  reimbursement  for
         prehospital emergency medical services
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Subparagraph (C) of  paragraph  24  of  subsection  (i)  of
    2  section  3216  of the insurance law, as added by chapter 506 of the laws
    3  of 2001, is amended to read as follows:
    4    (C)  An  insurer  shall  provide  reimbursement  for  those   services
    5  prescribed  by  this section at rates negotiated between the insurer and
    6  the provider of such services. In the absence of agreed upon  rates,  an
    7  insurer  shall  pay for such services at the usual and customary charge,
    8  which shall not be excessive or unreasonable.  ANY FIRE DEPARTMENT, FIRE
    9  DISTRICT OR AMBULANCE  DISTRICT  WHICH  PROVIDES  PREHOSPITAL  EMERGENCY
   10  MEDICAL  SERVICES  MAY  SUBMIT REQUESTS FOR REIMBURSEMENT DIRECTLY TO AN
   11  INSURER FOR SERVICES RENDERED IN ACCORDANCE WITH THIS PARAGRAPH.
   12    S 2. Subparagraph (C) of paragraph 15 of  subsection  (l)  of  section
   13  3221  of the insurance law, as added by chapter 506 of the laws of 2001,
   14  is amended to read as follows:
   15    (C)  An  insurer  shall  provide  reimbursement  for  those   services
   16  prescribed  by  this section at rates negotiated between the insurer and
   17  the provider of such services. In the absence of agreed upon  rates,  an
   18  insurer  shall  pay for such services at the usual and customary charge,
   19  which shall not be excessive or unreasonable.  ANY FIRE DEPARTMENT, FIRE
   20  DISTRICT OR AMBULANCE  DISTRICT  WHICH  PROVIDES  PREHOSPITAL  EMERGENCY
   21  MEDICAL  SERVICES  MAY  SUBMIT REQUESTS FOR REIMBURSEMENT DIRECTLY TO AN
   22  INSURER FOR SERVICES RENDERED IN ACCORDANCE WITH THIS PARAGRAPH.
   23    S 3. Paragraph 3 of subsection (aa) of section 4303 of  the  insurance
   24  law,  as added by chapter 506 of the laws of 2001, is amended to read as
   25  follows:
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD11641-01-9
       A. 8119                             2
    1    (3)  An  insurer  shall  provide  reimbursement  for  those   services
    2  prescribed  by  this section at rates negotiated between the insurer and
    3  the provider of such services. In the absence of agreed upon  rates,  an
    4  insurer  shall  pay for such services at the usual and customary charge,
    5  which shall not be excessive or unreasonable.  ANY FIRE DEPARTMENT, FIRE
    6  DISTRICT  OR  AMBULANCE  DISTRICT  WHICH  PROVIDES PREHOSPITAL EMERGENCY
    7  MEDICAL SERVICES MAY SUBMIT REQUESTS FOR REIMBURSEMENT  DIRECTLY  TO  AN
    8  INSURER FOR SERVICES RENDERED IN ACCORDANCE WITH THIS SUBSECTION.
    9    S  4.  This  act shall take effect on the thirtieth day after it shall
   10  have become a law.