- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
A07862 Summary:
BILL NO | A07862A |
  | |
SAME AS | SAME AS S07577-A |
  | |
SPONSOR | Weprin |
  | |
COSPNSR | Hevesi, Davila, Paulin, Brook-Krasny |
  | |
MLTSPNSR | |
  | |
Amd 4224 & 4303, Ins L | |
  | |
Addresses non-covered dental services by prohibiting insurers from including in a contract or agreement with a dentist requirements to set fees or require approval fees for services not covered under a person's dental plan; prohibits medical expense indemnity corporations, dental expense indemnity corporations and health service corporations from including in a contract or agreement with a dentist requirements to set fees or require approval fees for services not covered under a person's dental plan. |
A07862 Actions:
BILL NO | A07862A | |||||||||||||||||||||||||||||||||||||||||||||||||
  | ||||||||||||||||||||||||||||||||||||||||||||||||||
07/07/2023 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
01/03/2024 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
02/22/2024 | amend and recommit to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
02/22/2024 | print number 7862a | |||||||||||||||||||||||||||||||||||||||||||||||||
02/28/2024 | reported | |||||||||||||||||||||||||||||||||||||||||||||||||
02/29/2024 | advanced to third reading cal.331 | |||||||||||||||||||||||||||||||||||||||||||||||||
04/04/2024 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
04/04/2024 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
04/04/2024 | REFERRED TO INSURANCE | |||||||||||||||||||||||||||||||||||||||||||||||||
06/04/2024 | SUBSTITUTED FOR S7577A | |||||||||||||||||||||||||||||||||||||||||||||||||
06/04/2024 | 3RD READING CAL.882 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/04/2024 | PASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
06/04/2024 | RETURNED TO ASSEMBLY |
A07862 Committee Votes:
Weprin | Aye | Blankenbush | Excused | ||||||
Cook | Aye | Hawley | Aye | ||||||
Pretlow | Aye | Palmesano | Aye | ||||||
Lavine | Aye | Gandolfo | Aye | ||||||
Steck | Aye | Curran | Aye | ||||||
Dilan | Aye | Jensen | Aye | ||||||
Hunter | Aye | Blumencranz | Aye | ||||||
Stern | Aye | Bendett | Aye | ||||||
Jacobson | Aye | ||||||||
Meeks | Aye | ||||||||
Forrest | Aye | ||||||||
Anderson | Aye | ||||||||
Cruz | Aye | ||||||||
Bores | Aye | ||||||||
Lunsford | Excused | ||||||||
Berger | Aye | ||||||||
Eichenstein | Aye | ||||||||
Go to top
A07862 Floor Votes:
Yes
Alvarez
No
Byrnes
Yes
Fall
ER
Kelles
Yes
Otis
Yes
Simpson
Yes
Anderson
Yes
Carroll
No
Fitzpatrick
Yes
Kim
Yes
Palmesano
Yes
Slater
Yes
Angelino
Yes
Chandler-Waterm
Yes
Flood
Yes
Lavine
Yes
Paulin
Yes
Smith
Yes
Ardila
Yes
Chang
Yes
Forrest
Yes
Lee
Yes
Peoples-Stokes
Yes
Smullen
Yes
Aubry
ER
Clark
No
Friend
Yes
Lemondes
Yes
Pheffer Amato
Yes
Solages
Yes
Barclay
Yes
Colton
Yes
Gallagher
Yes
Levenberg
Yes
Pirozzolo
Yes
Steck
Yes
Barrett
Yes
Conrad
Yes
Gallahan
Yes
Lucas
Yes
Pretlow
Yes
Stern
Yes
Beephan
Yes
Cook
Yes
Gandolfo
Yes
Lunsford
Yes
Ra
Yes
Stirpe
Yes
Bendett
Yes
Cruz
Yes
Gibbs
Yes
Lupardo
Yes
Raga
Yes
Tague
Yes
Benedetto
Yes
Cunningham
Yes
Giglio JA
Yes
Magnarelli
Yes
Rajkumar
Yes
Tannousis
Yes
Berger
Yes
Curran
Yes
Giglio JM
Yes
Maher
Yes
Ramos
Yes
Tapia
Yes
Bichotte Hermel
Yes
Dais
Yes
Glick
Yes
Mamdani
Yes
Reilly
Yes
Taylor
Yes
Blankenbush
Yes
Darling
Yes
Gonzalez-Rojas
Yes
Manktelow
Yes
Reyes
Yes
Thiele
Yes
Blumencranz
Yes
Davila
No
Goodell
Yes
McDonald
Yes
Rivera
Yes
Vanel
Yes
Bores
Yes
De Los Santos
Yes
Gray
Yes ‡
McDonough
Yes
Rosenthal
Yes
Walker
Yes
Brabenec
Yes
DeStefano
Yes
Gunther
Yes
McGowan
Yes
Rozic
Yes
Wallace
Yes
Braunstein
Yes ‡
Dickens
Yes
Hawley
Yes
McMahon
Yes
Santabarbara
Yes
Walsh
Yes
Bronson
Yes
Dilan
ER
Hevesi
Yes
Meeks
Yes
Sayegh
Yes
Weinstein
Yes
Brook-Krasny
Yes
Dinowitz
Yes
Hunter
Yes
Mikulin
Yes
Seawright
Yes
Weprin
Yes
Brown EA
Yes
DiPietro
Yes
Hyndman
Yes
Miller
Yes
Septimo
Yes
Williams
Yes
Brown K
Yes
Durso
Yes
Jackson
Yes
Mitaynes
Yes
Shimsky
Yes
Woerner
Yes
Burdick
Yes
Eachus
Yes
Jacobson
Yes
Morinello
Yes
Shrestha
Yes
Zaccaro
Yes
Burgos
Yes
Eichenstein
Yes
Jean-Pierre
Yes
Norris
Yes ‡
Sillitti
Yes
Zebrowski
Yes
Burke
Yes
Epstein
Yes
Jensen
Yes
Novakhov
Yes
Simon
Yes
Zinerman
Yes
Buttenschon
Yes
Fahy
Yes
Jones
ER
O'Donnell
Yes
Simone
Yes
Mr. Speaker
‡ Indicates voting via videoconference
A07862 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 7862--A 2023-2024 Regular Sessions IN ASSEMBLY July 7, 2023 ___________ Introduced by M. of A. WEPRIN -- read once and referred to the Committee on Insurance -- recommitted to the Committee on Insurance in accord- ance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said commit- tee AN ACT to amend the insurance law, in relation to addressing non-covered dental services The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 4224 of the insurance law is amended by adding a 2 new subsection (g) to read as follows: 3 (g)(1) Notwithstanding any other provision of this section, no insurer 4 authorized to do business in this state shall include a provision in a 5 contract or participating provider agreement with a dentist which 6 requires, directly or indirectly, that a participating dentist provide 7 services to an insured at a fee set by, or at a fee subject to the 8 approval of, the insurer unless the dental services are covered services 9 under the insured's dental plan. 10 (2) For purposes of this subsection, "covered services" shall mean 11 dental services for which reimbursement is available under an insured's 12 dental plan or for which a reimbursement would be available but for the 13 application of contractual limitations such as deductibles, copayments, 14 coinsurance, waiting periods, annual or lifetime maximums, frequency 15 limitations, alternative benefit payments, or any other limitation. 16 § 2. Subsection (s) of section 4303 of the insurance law, as added by 17 chapter 293 of the laws of 1992, is amended to read as follows: 18 [(s)](s-1)(1) Notwithstanding any provision of a contract issued by a 19 medical expense indemnity corporation, a dental expense indemnity corpo- 20 ration or health service corporation, every contract which provides 21 coverage for care provided through licensed health professionals who can 22 bill for services shall provide the same coverage and reimbursement for EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11752-04-4A. 7862--A 2 1 such service provided pursuant to a clinical practice plan established 2 pursuant to subdivision fourteen of section two hundred six of the 3 public health law. 4 (2) Notwithstanding any other provision of this section, no medical 5 expense indemnity corporation, dental expense indemnity corporation or 6 health service corporation authorized to do business in this state shall 7 include a provision in a contract or participating provider agreement 8 with a dentist which requires, directly or indirectly, that a partic- 9 ipating dentist provide services to an insured at a fee set by, or at a 10 fee subject to the approval of, the medical expense indemnity corpo- 11 ration, dental expense indemnity corporation or health service corpo- 12 ration unless the dental services are covered services under the 13 insured's dental plan. 14 (3) For purposes of this subsection, "covered services" shall mean 15 dental services for which reimbursement is available under an insured's 16 dental plan or for which a reimbursement would be available but for the 17 application of contractual limitations such as deductibles, copayments, 18 coinsurance, waiting periods, annual or lifetime maximums, frequency 19 limitations, alternative benefit payments, or any other limitation. 20 § 3. This act shall take effect January 1, 2025 and shall apply to all 21 insurance contracts issued or entered into on or after such date.