Bill Text: NY S01695 | 2011-2012 | General Assembly | Introduced

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Bill Title: Relates to reimbursement of non-emergency ambulette transportation services.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2012-01-04 - REFERRED TO INSURANCE [S01695 Detail]

Download: New_York-2011-S01695-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1695
                              2011-2012 Regular Sessions
                                   I N  S E N A T E
                                   January 11, 2011
                                      ___________
       Introduced  by  Sen. SAMPSON -- read twice and ordered printed, and when
         printed to be committed to the Committee on Insurance
       AN ACT to amend the insurance law, in relation  to  non-emergency  ambu-
         lette transportation services provided to covered persons
         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  5110
    2  to read as follows:
    3    S 5110. AMBULETTE TRANSPORTATION SERVICES. (A) EVERY OWNER'S POLICY OF
    4  LIABILITY  INSURANCE  ISSUED  ON  A MOTOR VEHICLE IN SATISFACTION OF THE
    5  REQUIREMENTS OF ARTICLE SIX OR EIGHT OF  THE  VEHICLE  AND  TRAFFIC  LAW
    6  SHALL  INCLUDE  REIMBURSEMENT  OF NON-EMERGENCY AMBULETTE TRANSPORTATION
    7  SERVICES THAT  ARE  MEDICAID-CERTIFIED  FOR  THE  TRANSPORT  OF  COVERED
    8  PERSONS  TO  AND  FROM  APPOINTMENTS WITH HEALTH CARE PROVIDERS THAT ARE
    9  DIRECTLY RELATED TO TREATMENT OF AN INJURY OR INJURIES  SUSTAINED  AS  A
   10  RESULT OF A MOTOR VEHICLE ACCIDENT.
   11    (B) PAYMENT BY AN INSURER PURSUANT TO THIS SECTION SHALL BE PAYMENT IN
   12  FULL FOR THE SERVICES PROVIDED. AN AMBULETTE SERVICE REIMBURSED PURSUANT
   13  TO THIS SECTION SHALL NOT CHARGE OR SEEK ANY REIMBURSEMENT FROM, OR HAVE
   14  ANY RECOURSE AGAINST A COVERED PERSON FOR THE SERVICES PROVIDED PURSUANT
   15  TO THIS SECTION.
   16    (C) AMBULETTE COMPANIES SHALL BE AUTHORIZED TO ACCEPT LETTERS OF REAS-
   17  SIGNMENT OF BENEFITS FROM COVERED PERSONS.
   18    (D)   AN  INSURER  SHALL  PROVIDE  REIMBURSEMENT  FOR  THOSE  SERVICES
   19  PRESCRIBED BY THIS SECTION AT RATES NEGOTIATED BETWEEN THE  INSURER  AND
   20  THE  PROVIDER  OF SUCH SERVICES. IN THE ABSENCE OF AGREED UPON RATES, AN
   21  INSURER SHALL PAY FOR SUCH SERVICES AT THE USUAL AND  CUSTOMARY  CHARGE,
   22  WHICH SHALL NOT BE EXCESSIVE OR UNREASONABLE.
   23    S 2. This act shall take effect immediately.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD05913-01-1