Prevents health plans from engaging in overpayment recovery efforts that include contacting the patient to seek reimbursement for such overpayment of claims.
STATE OF NEW YORK
________________________________________________________________________
1421
2025-2026 Regular Sessions
IN ASSEMBLY
January 9, 2025
___________
Introduced by M. of A. ROSENTHAL -- read once and referred to the
Committee on Insurance
AN ACT to amend the insurance law, in relation to overpayment of insur-
ance claims
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Paragraph 1 of subsection (b) of section 3224-b of the
2 insurance law, as amended by chapter 237 of the laws of 2009, is amended
3 to read as follows:
4 (1) Other than recovery for duplicate payments, a health plan shall
5 provide thirty days written notice to health care providers before
6 engaging in additional overpayment recovery efforts seeking recovery of
7 the overpayment of claims to such health care providers. Such notice
8 shall state the patient name, service date, payment amount, proposed
9 adjustment, and a reasonably specific explanation of the proposed
10 adjustment. A health plan shall not engage in any overpayment recovery
11 efforts that include contacting the patient to seek reimbursement for
12 such overpayment of claims.
13 § 2. This act shall take effect on the ninetieth day after it shall
14 have become a law and shall apply to policies and contracts issued,
15 renewed, modified, altered or amended on or after such effective date.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD03931-01-5
