Bill Text: NY S07370 | 2015-2016 | General Assembly | Introduced

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Bill Title: Requires health insurers to provide health care providers with the coverage a policyholder or covered person has, when liability for a health care claim is not reasonably clear.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2016-04-22 - REFERRED TO INSURANCE [S07370 Detail]

Download: New_York-2015-S07370-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          7370
                    IN SENATE
                                     April 22, 2016
                                       ___________
        Introduced  by  Sen.  HANNON -- 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  requiring  health
          insurers  to  provide,  when  liability  for a claim is not reasonably
          clear, the coverage the policyholder or covered person is enrolled in
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  Paragraph  2  of  subsection (b) of section 3224-a of the
     2  insurance law, as amended by chapter 237 of the laws of 2009, is amended
     3  and a new paragraph 3 is added to read as follows:
     4    (2) to request all additional information needed to determine  liabil-
     5  ity to pay the claim or make the health care payment[.]; and
     6    (3)  of  the  specific  type  of  plan  or product the policyholder or
     7  covered person is enrolled in.
     8    § 2. Subsection (d) of section 3224-a of the insurance law is  amended
     9  by adding a new paragraph 3 to read as follows:
    10    (3) "plan or product" shall mean:
    11    (i)  medicaid  coverage  certified  pursuant  to section three hundred
    12  sixty-four-j of the social services law;
    13    (ii) a child health insurance plan certified pursuant to section twen-
    14  ty-five hundred eleven of the public health law;
    15    (iii) basic health program  coverage  certified  pursuant  to  section
    16  three  hundred  sixty-nine-gg  of the social services law, including the
    17  specific rating group the policyholder or covered person is enrolled in;
    18    (iv) coverage purchased on the New York insurance exchange established
    19  pursuant to article sixty-two of this chapter; and
    20    (v) any other product fully insured and regulated by the  state  under
    21  article forty-two, forty-three, or forty-seven of this chapter, or arti-
    22  cle forty-four of the public health law.
    23    § 3. This act shall take effect July 1, 2017.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD15055-02-6