A07862 Summary:

BILL NOA07862A
 
SAME ASSAME AS S07577-A
 
SPONSORWeprin
 
COSPNSRHevesi, 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.
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A07862 Actions:

BILL NOA07862A
 
07/07/2023referred to insurance
01/03/2024referred to insurance
02/22/2024amend and recommit to insurance
02/22/2024print number 7862a
02/28/2024reported
02/29/2024advanced to third reading cal.331
04/04/2024passed assembly
04/04/2024delivered to senate
04/04/2024REFERRED TO INSURANCE
06/04/2024SUBSTITUTED FOR S7577A
06/04/20243RD READING CAL.882
06/04/2024PASSED SENATE
06/04/2024RETURNED TO ASSEMBLY
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A07862 Committee Votes:

INSURANCE Chair:Weprin DATE:02/28/2024AYE/NAY:23/0 Action: Favorable
WeprinAyeBlankenbushExcused
CookAyeHawleyAye
PretlowAyePalmesanoAye
LavineAyeGandolfoAye
SteckAyeCurranAye
DilanAyeJensenAye
HunterAyeBlumencranzAye
SternAyeBendettAye
JacobsonAye
MeeksAye
ForrestAye
AndersonAye
CruzAye
BoresAye
LunsfordExcused
BergerAye
EichensteinAye

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A07862 Floor Votes:

DATE:04/04/2024Assembly Vote  YEA/NAY: 142/4
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
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A07862 Text:



 
                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.
                                                                   LBD11752-04-4

        A. 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.
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