A07616 Summary:

BILL NOA07616
 
SAME ASSAME AS S04789
 
SPONSORLavine
 
COSPNSR
 
MLTSPNSR
 
Amd S4406-c, Pub Health L; amd SS3217-b & 4325, Ins L
 
Prohibits requiring health care providers to provide services under a qualified health plan in the health benefit exchange, unless such provider participates in the in-network portion of such plan.
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A07616 Actions:

BILL NOA07616
 
05/20/2015referred to health
01/06/2016referred to health
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A07616 Committee Votes:

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A07616 Floor Votes:

There are no votes for this bill in this legislative session.
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A07616 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          7616
 
                               2015-2016 Regular Sessions
 
                   IN ASSEMBLY
 
                                      May 20, 2015
                                       ___________
 
        Introduced by M. of A. LAVINE -- read once and referred to the Committee
          on Health
 
        AN ACT to amend the public health law and the insurance law, in relation
          to  prohibiting  health  care plans and health insurers from requiring
          any health care provider to provide services through the state  health
          benefit  exchange,  unless  the  health  care  provider  has agreed to
          participate in the in-network portion of such plan or insurance
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Section  4406-c  of  the  public health law is amended by
     2  adding a new subdivision 5-e to read as follows:
     3    5-e. No health care plan shall, by contract or written policy or writ-
     4  ten procedure, require a health care provider to participate in a  prod-
     5  uct  offered  as  a  qualified  health  plan  in  a state health benefit
     6  exchange established pursuant to  the  federal  Patient  Protection  and
     7  Affordable  Care  Act (P.L.   111-148), as amended by the federal Health
     8  Care and Education Reconciliation Act of 2010 (P.L.    111-152),  unless
     9  the  health  care provider and health care plan have executed a separate
    10  agreement whereby the health care provider agrees to be a participant in
    11  the in-network portion of such qualified health plan.
    12    § 2. Section 3217-b of the insurance law is amended by  adding  a  new
    13  subsection (d-1) to read as follows:
    14    (d-1) No insurer subject to this article shall, by contract or written
    15  policy  or  written procedure, require a health care provider to partic-
    16  ipate in a product offered as a qualified health plan in a state  health
    17  benefit  exchange established pursuant to the federal Patient Protection
    18  and Affordable Care Act (P.L. 111-148), as amended by the federal Health
    19  Care and Education Reconciliation Act of 2010 (P.L. 111-152), unless the
    20  health care provider and insurer  have  executed  a  separate  agreement
    21  whereby  the  health  care  provider  agrees  to be a participant in the
    22  in-network portion of such qualified health plan.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10490-01-5

        A. 7616                             2
 
     1    § 3. Section 4325 of the insurance law is  amended  by  adding  a  new
     2  subsection (d-1) to read as follows:
     3    (d-1)  No  corporation organized under this article shall, by contract
     4  or written policy or written procedure, require a health  care  provider
     5  to  participate  in  a  product  offered as a qualified health plan in a
     6  state health  benefit  exchange  established  pursuant  to  the  federal
     7  Patient Protection and Affordable Care Act (P.L. 111-148), as amended by
     8  the  federal  Health Care and Education Reconciliation Act of 2010 (P.L.
     9  111-152), unless the health care provider and corporation have  executed
    10  a  separate  agreement  whereby  the health care provider agrees to be a
    11  participant in the in-network portion of such qualified health plan.
    12    § 4. This act shall take effect immediately.
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