Bill Text: NY A09019 | 2023-2024 | General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

---

Bill Title: Includes permissible payment methods, advance consent for direct payments, and annually providing the updated rate schedule as required terms for certain insurance contracts.

Spectrum: Partisan Bill (Democrat 6-0)

Status: (Introduced) 2024-05-28 - ordered to third reading rules cal.182 [A09019 Detail]

Download: New_York-2023-A09019-Introduced.html

---

                STATE OF NEW YORK
        ________________________________________________________________________

                                          9019

                   IN ASSEMBLY

                                    February 5, 2024
                                       ___________

        Introduced  by M. of A. WOERNER, THIELE, GLICK -- read once and referred
          to the Committee on Insurance

        AN ACT to amend the insurance law, in relation  to  required  terms  for
          certain insurance contracts

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Paragraph 3 of subsection (e)  of  section  3217-b  of  the
     2  insurance  law, as added by chapter 586 of the laws of 1998,  is amended
     3  and three new subparagraphs 3-a, 3-b  and  3-c  are  added  to  read  as
     4  follows:
     5    (3)  a description of the records or information relied upon to calcu-
     6  late any such payments and adjustments, including the date  of  service,
     7  patient  identification  number,  an  identification  of the service for
     8  which the payment is made, the reimbursement paid by the insurer for the
     9  service, and a description of how the provider can access a  summary  of
    10  such calculations and adjustments;
    11    (3-a)  the permissible payment methods as cash, check, direct deposit,
    12  debit or credit card or online payment system, provided the health  care
    13  provider  can  access  his or her payment in full, without encumbrances,
    14  costs, charges, or fees, including a fee for replacement of  a  lost  or
    15  stolen check;
    16    (3-b) the advance written consent of a provider to the insurer for the
    17  method  of  payment and to directly pay or deposit payments in a bank or
    18  other financial institution of the provider's choosing;
    19    (3-c) the insurer's annual obligation, beginning on the effective date
    20  of this paragraph and continuing every first of January  thereafter,  to
    21  provide  the health care provider with an updated payment rate schedule,
    22  including a description of any services bundled within  a  single  rate,
    23  and  the  median rate paid by the insurer for comparable services within
    24  the provider's service area;
    25    § 2. This act shall take effect on the thirtieth day  after  it  shall
    26  have  become  a  law  and  shall  apply  to  all contracts entered into,
    27  renewed, modified or amended on or after such effective date.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14217-01-4