Bill Text: NY S01345 | 2019-2020 | General Assembly | Introduced

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Bill Title: Requires the New York state health care quality and cost containment commission to issue a report considering the impact on health insurance costs and quality of legislation requiring coverage of long term and chronic Lyme disease and other tick-borne diseases.

Spectrum: Moderate Partisan Bill (Republican 7-1)

Status: (Introduced - Dead) 2020-01-08 - REFERRED TO INSURANCE [S01345 Detail]

Download: New_York-2019-S01345-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          1345
                               2019-2020 Regular Sessions
                    IN SENATE
                                    January 14, 2019
                                       ___________
        Introduced  by  Sens.  SERINO, AKSHAR, HELMING, JACOBS, KENNEDY, O'MARA,
          RITCHIE -- 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 meetings and reports
          of the New York state health care quality and cost containment commis-
          sion
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1. Section 213 of the insurance law, as added by section 1 of
     2  part L of chapter 57 of the laws of 2007, is amended to read as follows:
     3    § 213. New York state health care quality and cost containment commis-
     4  sion. (a) There is hereby established within the  department  a  commis-
     5  sion,  to  be  known as the "New York state health care quality and cost
     6  containment  commission".  The  commission  shall  consist  of  thirteen
     7  members  appointed by the governor, one of whom shall be the superinten-
     8  dent, one of whom shall be the commissioner of health, and six  of  whom
     9  shall be appointed on the recommendation of the legislative leaders, two
    10  on  the  recommendation of the temporary president of the senate, two on
    11  the recommendation of the speaker of the assembly, one on the  recommen-
    12  dation  of the minority leader of the senate, and one on the recommenda-
    13  tion of the minority leader of the assembly. All members shall serve  at
    14  the  pleasure  of  the governor, and vacancies shall be appointed in the
    15  same manner as original appointments. Members of  the  commission  shall
    16  serve without compensation, but shall be reimbursed for reasonable trav-
    17  el  expenses.  In  making  appointments  to the commission, the governor
    18  shall ensure that the interests of health care  consumers,  small  busi-
    19  nesses,  the  medical  community and health plans are represented on the
    20  commission.   The commission shall be required  to  meet  on  the  first
    21  Monday  after  the  first  of  January of each calendar year to consider
    22  outstanding requests or duties.  Any vacancies shall be deemed waived by
    23  the appointing authority for the purposes of the first meeting.  Nothing
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00470-02-9
        S. 1345                             2
     1  in  this section shall forfeit the right for an appointment authority to
     2  fill vacancies within their statutorily allowed members.
     3    (b)(1) The purpose of the commission shall be to analyze the impact on
     4  health  insurance  costs and quality of proposed legislation which would
     5  mandate that health benefits be offered or made available in  individual
     6  and  group health insurance policies, contracts and comprehensive health
     7  service plans, including legislation that affects the delivery of health
     8  benefits or services or the reimbursement of health care providers.
     9    (2) [The] Notwithstanding any other provision of  law,  the  governor,
    10  the  chair of the senate insurance committee and the chair of the assem-
    11  bly insurance committee may request in writing that the commission eval-
    12  uate a proposed mandated benefit. Upon receiving  such  a  request,  the
    13  commission  may,  by a majority vote of its members, undertake an evalu-
    14  ation of such proposed mandated benefit.
    15    (3) In evaluating a proposed mandated benefit, the commission shall:
    16    (A) investigate the current practices of health plans with  regard  to
    17  the  proposed mandated benefit, and, to the extent possible, self-funded
    18  health benefit plans;
    19    (B) investigate the potential premium impact of the proposed  mandated
    20  benefits  on all segments of the insurance market, as well as the poten-
    21  tial for avoided costs through early detection and treatment  of  condi-
    22  tions, or more cost-effective delivery of medical services; and
    23    (C) analyze the most current medical literature regarding the proposed
    24  mandated benefit to determine its impact on health care quality.
    25    (4) In evaluating a proposed mandated benefit, the commission may hold
    26  one  or more public hearings, and shall strive to obtain independent and
    27  verifiable information from diverse sources within the healthcare indus-
    28  try, medical community and among health care consumers  with  regard  to
    29  the proposed mandated benefit.
    30    (c)  To assist the commission in its duties, and upon the direction of
    31  the commission, the superintendent is authorized to enter  into  one  or
    32  more  contracts  with independent entities and organizations with demon-
    33  strable expertise in health care quality, finance, utilization and actu-
    34  arial services. For the purposes of  this  section,  the  superintendent
    35  shall  not enter into contracts with health plans, entities or organiza-
    36  tions owned or controlled by health plans, or with significant  business
    37  relationships with health plans.
    38    (d)  Upon  completion of its evaluation of a proposed mandated benefit
    39  pursuant to this section, the commission shall deliver a written  report
    40  of its findings to the chair of the assembly insurance committee and the
    41  chair of the senate insurance committee.
    42    (e)  The commission shall issue a report to the governor, the majority
    43  leader of the senate, the speaker of the assembly,  the  chairs  of  the
    44  senate  and  assembly  insurance committees, and the chair of the senate
    45  task force on Lyme and tick-borne diseases, considering  the  impact  on
    46  health  insurance costs and quality of legislation requiring coverage of
    47  long-term and chronic Lyme disease and other  tick-borne  diseases.  The
    48  commission  shall  be  required  to  consider  issues including, but not
    49  limited to, the specific medical impacts to particular geographic  areas
    50  in the state including the Hudson Valley and Long Island, best practices
    51  developed  for  coverage for long-term and chronic Lyme disease in other
    52  states, and the associated costs of mandated  coverage  in  addition  to
    53  projected  costs  of untreated symptoms.  The commission shall deliver a
    54  written report of its findings by May first, two thousand twenty.
    55    § 2. This act shall take effect immediately.