- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
S02008 Summary:
BILL NO | S02008B |
  | |
SAME AS | SAME AS A01677-A |
  | |
SPONSOR | JACKSON |
  | |
COSPNSR | BENJAMIN, RAMOS, SALAZAR, BIAGGI, GOUNARDES, KRUEGER, LIU, RIVERA, SEPULVEDA |
  | |
MLTSPNSR | |
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Amd §3224-a, Ins L | |
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Requires specification between partial approval of medical claims or payments and full denial of medical claims or payments on written notices to an insurer or an organization or corporation licensed or certified. |
S02008 Actions:
BILL NO | S02008B | |||||||||||||||||||||||||||||||||||||||||||||||||
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01/16/2021 | REFERRED TO INSURANCE | |||||||||||||||||||||||||||||||||||||||||||||||||
03/16/2021 | 1ST REPORT CAL.570 | |||||||||||||||||||||||||||||||||||||||||||||||||
03/17/2021 | 2ND REPORT CAL. | |||||||||||||||||||||||||||||||||||||||||||||||||
03/18/2021 | ADVANCED TO THIRD READING | |||||||||||||||||||||||||||||||||||||||||||||||||
03/23/2021 | PASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
03/23/2021 | DELIVERED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
03/23/2021 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
03/30/2021 | RECALLED FROM ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
03/30/2021 | returned to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
03/30/2021 | VOTE RECONSIDERED - RESTORED TO THIRD READING | |||||||||||||||||||||||||||||||||||||||||||||||||
03/30/2021 | AMENDED ON THIRD READING 2008A | |||||||||||||||||||||||||||||||||||||||||||||||||
04/19/2021 | REPASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
04/19/2021 | RETURNED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
04/19/2021 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
04/21/2021 | RECALLED FROM ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
04/21/2021 | returned to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
04/21/2021 | VOTE RECONSIDERED - RESTORED TO THIRD READING | |||||||||||||||||||||||||||||||||||||||||||||||||
04/21/2021 | AMENDED ON THIRD READING 2008B | |||||||||||||||||||||||||||||||||||||||||||||||||
04/27/2021 | REPASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
04/27/2021 | RETURNED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
04/27/2021 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
06/01/2021 | substituted for a1677a | |||||||||||||||||||||||||||||||||||||||||||||||||
06/01/2021 | ordered to third reading rules cal.163 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/03/2021 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
06/03/2021 | returned to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
12/09/2021 | DELIVERED TO GOVERNOR | |||||||||||||||||||||||||||||||||||||||||||||||||
12/21/2021 | SIGNED CHAP.694 |
S02008 Committee Votes:
Go to topS02008 Floor Votes:
Yes
Abbate
Yes
Clark
Yes
Frontus
Yes
Lalor
Yes
Paulin
Yes
Sillitti
Yes
Abinanti
Yes
Colton
Yes
Galef
Yes
Lavine
Yes
Peoples-Stokes
Yes
Simon
Yes
Anderson
Yes
Conrad
Yes
Gallagher
Yes
Lawler
Yes
Perry
Yes
Simpson
Yes
Angelino
Yes
Cook
Yes
Gallahan
Yes
Lemondes
Yes
Pheffer Amato
Yes
Smith
Yes
Ashby
Yes
Cruz
Yes
Gandolfo
Yes
Lunsford
Yes
Pichardo
Yes
Smullen
Yes
Aubry
Yes
Cusick
Yes
Giglio JA
Yes
Lupardo
Yes
Pretlow
Yes
Solages
Yes
Barclay
Yes
Cymbrowitz
Yes
Giglio JM
Yes
Magnarelli
Yes
Quart
Yes
Steck
Yes
Barnwell
Yes
Darling
Yes
Glick
Yes
Mamdani
Yes
Ra
Yes
Stern
Yes
Barrett
Yes
Davila
Yes
Gonzalez-Rojas
Yes
Manktelow
Yes
Rajkumar
Yes
Stirpe
Yes
Barron
Yes
De La Rosa
Yes
Goodell
Yes
McDonald
Yes
Ramos
Yes
Tague
Yes
Benedetto
Yes
DeStefano
Yes
Gottfried
Yes
McDonough
Yes
Reilly
Yes
Tannousis
Yes
Bichotte Hermel
Yes
Dickens
Yes
Griffin
Yes
McMahon
Yes
Reyes
Yes
Taylor
No
Blankenbush
Yes
Dilan
Yes
Gunther
Yes
Meeks
Yes
Richardson
Yes
Thiele
Yes
Brabenec
Yes
Dinowitz
Yes
Hawley
Yes
Mikulin
Yes
Rivera J
Yes
Vanel
Yes
Braunstein
No
DiPietro
Yes
Hevesi
Yes
Miller B
Yes
Rivera JD
No
Walczyk
Yes
Bronson
Yes
Durso
Yes
Hunter
Yes
Miller M
Yes
Rodriguez
Yes
Walker
Yes
Brown
Yes
Eichenstein
Yes
Hyndman
Yes
Mitaynes
Yes
Rosenthal D
Yes
Wallace
Yes
Burdick
Yes
Englebright
Yes
Jackson
Yes
Montesano
Yes
Rosenthal L
Yes
Walsh
Yes
Burgos
Yes
Epstein
Yes
Jacobson
Yes
Morinello
Yes
Rozic
Yes
Weinstein
Yes
Burke
Yes
Fahy
Yes
Jean-Pierre
Yes
Niou
Yes
Salka
Yes
Weprin
Yes
Buttenschon
Yes
Fall
Yes
Jensen
ER
Nolan
Yes
Santabarbara
Yes
Williams
No
Byrne
Yes
Fernandez
Yes
Jones
Yes
Norris
Yes
Sayegh
Yes
Woerner
Yes
Byrnes
Yes
Fitzpatrick
Yes
Joyner
Yes
O'Donnell
Yes
Schmitt
Yes
Zebrowski
Yes
Cahill
ER
Forrest
Yes
Kelles
Yes
Otis
Yes
Seawright
Yes
Zinerman
Yes
Carroll
Yes
Friend
Yes
Kim
Yes
Palmesano
Yes
Septimo
Yes
Mr. Speaker
‡ Indicates voting via videoconference
S02008 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 2008--B Cal. No. 570 2021-2022 Regular Sessions IN SENATE January 16, 2021 ___________ Introduced by Sens. JACKSON, BENJAMIN, RAMOS, SALAZAR, BIAGGI, GOUNARDES, KRUEGER, LIU, RIVERA, SEPULVEDA -- read twice and ordered printed, and when printed to be committed to the Committee on Insur- ance -- reported favorably from said committee, ordered to first and second report, ordered to a third reading, passed by Senate and deliv- ered to the Assembly, recalled, vote reconsidered, restored to third reading, amended and ordered reprinted, retaining its place in the order of third reading -- repassed by Senate and delivered to the Assembly, recalled, vote reconsidered, restored to third reading, amended and ordered reprinted, retaining its place in the order of third reading AN ACT to amend the insurance law, in relation to requiring specifica- tion between partial approval of medical claims and a denial of medical claims on written notices to an insurer The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subsection (b) of section 3224-a of the insurance law, as 2 amended by section 8 of part YY of chapter 56 of the laws of 2020, is 3 amended to read as follows: 4 (b) In a case where the obligation of an insurer or an organization or 5 corporation licensed or certified pursuant to article forty-three or 6 forty-seven of this chapter or article forty-four of the public health 7 law to pay a claim or make a payment for health care services rendered 8 is not reasonably clear due to a good faith dispute regarding the eligi- 9 bility of a person for coverage, the liability of another insurer or 10 corporation or organization for all or part of the claim, the amount of 11 the claim, the benefits covered under a contract or agreement, or the 12 manner in which services were accessed or provided, an insurer or organ- 13 ization or corporation shall pay any undisputed portion of the claim in 14 accordance with this subsection and notify the policyholder, covered 15 person or health care provider in writing, and through the internet or EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD00505-05-1S. 2008--B 2 1 other electronic means for claims submitted in that manner, within thir- 2 ty calendar days of the receipt of the claim: 3 (1) whether the claim or bill has been denied or partially approved; 4 (2) which claim or medical payment that it is not obligated to pay 5 [the claim or make the medical payment,] stating the specific reasons 6 why it is not liable; [or7(2)] and 8 (3) to request all additional information needed to determine liabil- 9 ity to pay the claim or make the health care payment; and 10 [(3)] (4) of the specific type of plan or product the policyholder or 11 covered person is enrolled in; provided that nothing in this section 12 shall authorize discrimination based on the source of payment. 13 Upon receipt of the information requested in paragraph [two] three of 14 this subsection or an appeal of a claim or bill for health care services 15 denied pursuant to [paragraph one of] this subsection, an insurer or 16 organization or corporation licensed or certified pursuant to article 17 forty-three or forty-seven of this chapter or article forty-four of the 18 public health law shall comply with subsection (a) of this section; 19 provided, that if the insurer or organization or corporation licensed or 20 certified pursuant to article forty-three or forty-seven of this chapter 21 or article forty-four of the public health law determines that payment 22 or additional payment is due on the claim, such payment shall be made to 23 the policyholder or covered person or health care provider within 24 fifteen days of the determination. Any denial or partial approval of 25 claim or payment and the specific reasons for such denial or partial 26 approval pursuant to this subsection shall be prominently displayed on a 27 written notice with at least twelve-point type. A partial approval of 28 claim or payment shall state at the top of such written notice with at 29 least fourteen-point type bold: "NOTICE OF PARTIAL APPROVAL OF MEDICAL 30 COVERAGE". A denial of claim or payment shall state at the top of such 31 written notice with at least fourteen-point type bold: "NOTICE OF DENIAL 32 OF MEDICAL COVERAGE". Any additional terms or conditions included on 33 such notice of partial approval or such notice of denial, such as but 34 not limited to time restraints to file an appeal, shall be included with 35 at least twelve-point type. 36 § 2. This act shall take effect on the ninetieth day after it shall 37 have become a law and shall apply to policies and contracts issued, 38 renewed, modified, altered or amended on or after such effective date.