Bill Text: NY A05126 | 2023-2024 | General Assembly | Introduced
Bill Title: Requires insurance reimbursement for the total direct and indirect practice expenses associated with vaccinations.
Spectrum: Moderate Partisan Bill (Democrat 8-1)
Status: (Introduced) 2024-01-03 - referred to insurance [A05126 Detail]
Download: New_York-2023-A05126-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 5126 2023-2024 Regular Sessions IN ASSEMBLY March 2, 2023 ___________ Introduced by M. of A. DINOWITZ -- read once and referred to the Commit- tee on Insurance AN ACT to amend the insurance law, in relation to insurance reimburse- ment for vaccination The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Clause (iii) of subparagraph (B) of paragraph 17 of 2 subsection (i) of section 3216 of the insurance law, as amended by chap- 3 ter 219 of the laws of 2011, is amended to read as follows: 4 (iii) necessary immunizations, as determined by the superintendent in 5 consultation with the commissioner of health, consisting of at least 6 adequate dosages of vaccine against diphtheria, pertussis, tetanus, 7 polio, measles, rubella, mumps, haemophilus influenzae type b and hepa- 8 titis b, which meet the standards approved by the United States public 9 health service for such biological products, including reimbursement to 10 the health care provider for the acquisition costs of the vaccine, 11 according to the current or most recently reported United States centers 12 for disease control and prevention private sector cost plus a minimum of 13 twenty-one percent for shipping, handling and storage costs, and the 14 total cost of administration of the vaccine, including the cost of 15 supplies, data entry, vaccine counseling, inventory management and 16 routine nursing activities based on the current year's medicare rates as 17 published by the United States centers for medicare and medicaid 18 services. 19 § 2. Clause (ii) of subparagraph (E) of paragraph 17 of subsection (i) 20 of section 3216 of the insurance law, as amended by chapter 219 of the 21 laws of 2011, is amended to read as follows: 22 (ii) immunizations that have in effect a recommendation from the advi- 23 sory committee on immunization practices of the centers for disease 24 control and prevention with respect to the individual involved, includ- 25 ing reimbursement to the health care provider for the acquisition costs EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD07666-01-3A. 5126 2 1 of the vaccine, according to the current or most recently reported 2 United States centers for disease control and prevention private sector 3 cost plus a minimum of twenty-one percent for shipping, handling and 4 storage costs, and the total cost of administration of the vaccine, 5 including the cost of supplies, data entry, vaccine counseling, invento- 6 ry management and routine nursing activities based on the current year's 7 medicare rates as published by the United States centers for medicare 8 and medicaid services; 9 § 3. Clause (iii) of subparagraph (B) of paragraph 8 of subsection (l) 10 of section 3221 of the insurance law, as amended by chapter 219 of the 11 laws of 2011, is amended to read as follows: 12 (iii) necessary immunizations, as determined by the superintendent in 13 consultation with the commissioner of health, consisting of at least 14 adequate dosages of vaccine against diphtheria, pertussis, tetanus, 15 polio, measles, rubella, mumps, haemophilus influenzae type b and hepa- 16 titis b, which meet the standards approved by the United States public 17 health service for such biological products, including reimbursement to 18 the health care provider for the acquisition costs of the vaccine, 19 according to the current or most recently reported United States centers 20 for disease control and prevention private sector cost plus a minimum of 21 twenty-one percent for shipping, handling and storage costs, and the 22 total cost of administration of the vaccine, including the cost of 23 supplies, data entry, vaccine counseling, inventory management and 24 routine nursing activities based on the current year's medicare rates as 25 published by the United States centers for medicare and medicaid 26 services. 27 § 4. Clause (ii) of subparagraph (E) of paragraph 8 of subdivision (l) 28 of section 3221 of the insurance law, as amended by chapter 219 of the 29 laws of 2011, is amended to read as follows: 30 (ii) immunizations that have in effect a recommendation from the advi- 31 sory committee on immunization practices of the centers for disease 32 control and prevention with respect to the individual involved, includ- 33 ing reimbursement to the health care provider for the acquisition costs 34 of the vaccine, according to the current or most recently reported 35 United States centers for disease control and prevention private sector 36 cost plus a minimum of twenty-one percent for shipping, handling and 37 storage costs, and the total cost of administration of the vaccine, 38 including the cost of supplies, data entry, vaccine counseling, invento- 39 ry management and routine nursing activities based on the current year's 40 medicare rates as published by the United States centers for medicare 41 and medicaid services; 42 § 5. Subparagraph (C) of paragraph 2 of subsection (j) of section 4303 43 of the insurance law, as amended by chapter 219 of the laws of 2011, is 44 amended to read as follows: 45 (C) necessary immunizations, as determined by the superintendent in 46 consultation with the commissioner of health, consisting of at least 47 adequate dosages of vaccine against diphtheria, pertussis, tetanus, 48 polio, measles, rubella, mumps, haemophilus influenzae type b and hepa- 49 titis b, which meet the standards approved by the United States public 50 health service for such biological products, including reimbursement to 51 the health care provider for the acquisition costs of the vaccine, 52 according to the current or most recently reported United States centers 53 for disease control and prevention private sector cost plus a minimum of 54 twenty-one percent for shipping, handling and storage costs, and the 55 total cost of administration of the vaccine, including the cost of 56 supplies, data entry, vaccine counseling, inventory management andA. 5126 3 1 routine nursing activities based on the current year's medicare rates as 2 published by the United States centers for medicare and medicaid 3 services. 4 § 6. Subparagraph (B) of paragraph 3 of subsection (j) of section 4303 5 of the insurance law, as added by chapter 219 of the laws of 2011, is 6 amended to read as follows: 7 (B) immunizations that have in effect a recommendation from the advi- 8 sory committee on immunization practices of the centers for disease 9 control and prevention with respect to the individual involved, includ- 10 ing reimbursement to the health care provider for the acquisition costs 11 of the vaccine, according to the current or most recently reported 12 United States centers for disease control and prevention private sector 13 cost plus a minimum of twenty-one percent for shipping, handling and 14 storage costs, and the total cost of administration of the vaccine, 15 including the cost of supplies, data entry, vaccine counseling, invento- 16 ry management and routine nursing activities based on the current year's 17 medicare rates as published by the United States centers for medicare 18 and medicaid services; 19 § 7. This act shall take effect on the first of January after it shall 20 have become a law and shall apply to any contract entered into, deliv- 21 ered, amended or modified on or after the date it takes effect.
