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A09182 Summary:

BILL NOA09182
 
SAME ASNo Same As
 
SPONSORSteck
 
COSPNSR
 
MLTSPNSR
 
Amd §2830, Pub Health L
 
Provides that no facility fee shall be charged for services when a hospital-based facility is a distant site for health care services delivered by telehealth unless the service is provided by a health care provider not authorized to bill a professional fee separately for the service.
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A09182 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          9182
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                    October 17, 2025
                                       ___________
 
        Introduced  by M. of A. STECK -- read once and referred to the Committee
          on Health
 
        AN ACT to amend the public health law, in relation to fair  pricing  for
          telehealth services
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Section 2830 of the public health law, as added by  chapter
     2  764 of the laws of 2022, is amended to read as follows:
     3    §  2830.  Regulation  of  the  billing  of  facility  fees. 1. For the
     4  purposes of this section[,]:
     5    (a) "Facility fee" [means any amount charged or billed by  a  provider
     6  for  professional  health  care  services  provided  in a hospital-based
     7  facility] shall have the same meaning as ascribed to such term by subdi-
     8  vision twelve of section twenty-eight hundred one of this article;
     9    (b) "Distant site" shall have the same meaning  as  ascribed  to  such
    10  term by subdivision one of section twenty-nine hundred ninety-nine-cc of
    11  this chapter; and
    12    (c)  "Telehealth" shall have the same meaning as ascribed to such term
    13  by subdivision four of section  twenty-nine  hundred  ninety-nine-cc  of
    14  this chapter.
    15    2.  No hospital or health system or health care provider shall bill or
    16  seek payment from a patient for a facility fee that is  not  covered  by
    17  the  patient's  health insurance carrier unless the patient was notified
    18  prior to the date of service that a facility fee would be applicable. If
    19  a health care provider enters into a business relationship with a hospi-
    20  tal or health system that will result in the provider's  patients  being
    21  subject  to  facility  fees,  the  health  care provider must notify its
    22  patients of the change and that facility fees will now be applicable  to
    23  services  received  from  the  health care provider. The notice shall be
    24  provided in writing at least seven days  in  advance  of  each  date  of
    25  service and shall explain the amount of the facility fee, the purpose of
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD13876-01-5

        A. 9182                             2
 
     1  the  facility  fee,  whether  the  patient's insurance plan will pay the
     2  facility fee, and for uninsured patients, how  to  apply  for  financial
     3  assistance.  If  advance  written notice is infeasible because the visit
     4  was secured less than seven days in advance, then a written notice shall
     5  be  provided  on  the  date the service is rendered. The notice shall be
     6  provided in plain language in conspicuous twelve-point  bold  face  type
     7  and shall be available in the top six languages spoken in the hospital's
     8  service area.
     9    3. In no event shall a facility fee be charged for services:
    10    (a)  related to the provision of preventive care service as defined by
    11  the United States Preventive Services Task Force; or
    12    (b) when a hospital-based facility is a distant site for  health  care
    13  services delivered by means of telehealth unless the service is provided
    14  by  a  health  care  provider  not authorized to bill a professional fee
    15  separately for the service.
    16    § 2. This act shall take effect immediately.
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