S07334 Summary:

BILL NOS07334
 
SAME ASNo same as
 
SPONSORSEWARD
 
COSPNSR
 
MLTSPNSR
 
Amd S1109, Ins L; amd S4406, Pub Health L
 
Relates to permitting health maintenance organizations to issue contracts with specified benefit designs.
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S07334 Actions:

BILL NOS07334
 
05/02/2012REFERRED TO INSURANCE
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S07334 Floor Votes:

There are no votes for this bill in this legislative session.
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S07334 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          7334
 
                    IN SENATE
 
                                       May 2, 2012
                                       ___________
 
        Introduced  by  Sen.  SEWARD -- read twice and ordered printed, and when
          printed to be committed to the Committee on Insurance
 
        AN ACT to amend the insurance law and the public health law, in relation
          to health maintenance organization benefit designs
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 

     1    Section  1.  Subsection  (e)  of  section 1109 of the insurance law is
     2  amended to read as follows:
     3    (e) The superintendent may promulgate regulations in effectuating  the
     4  purposes  and  provisions  of this chapter and article forty-four of the
     5  public  health  law  and  may  modify  requirements  applicable  to  the
     6  contracts between a health maintenance organization and its subscribers,
     7  including  contracts with benefit designs pursuant to subdivision six of
     8  section forty-four hundred six of the public health law, subject to such
     9  limitations as the superintendent shall  deem  necessary  or  proper  to
    10  insure the performance of such contracts.
    11    §  2. Section 4406 of the public health law is amended by adding a new
    12  subdivision 6 to read as follows:
    13    6. Notwithstanding any state law, rule or regulation to the  contrary,

    14  an  organization  certified  pursuant  to  this article is authorized to
    15  issue contracts with benefit designs, including deductibles, coinsurance
    16  and copayments, that have actuarial valuations of ninety percent, eighty
    17  percent, seventy percent and sixty percent.
    18    § 3. This act shall take effect January 1, 2013, and  shall  apply  to
    19  policies  and contracts issued, renewed, modified, altered or amended on
    20  or after such date.
 
 
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD15642-01-2
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