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S06053 Summary:

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S06053 Text:

 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          6053
 
                               2017-2018 Regular Sessions
 
                    IN SENATE
 
                                      May 10, 2017
                                       ___________
 
        Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
          printed to be committed to the Committee on Health
 
        AN ACT to amend the public health law and the insurance law, in relation
          to health care coverage for neonatal intensive care services
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Section  4406-c  of  the  public health law is amended by
     2  adding a new subdivision 9 to read as follows:
     3    9. A health care plan shall not require a prior authorization determi-
     4  nation for services provided in a neonatal  intensive  care  unit  of  a
     5  general  hospital  certified  pursuant  to  article twenty-eight of this
     6  chapter. Nothing in this subdivision shall prohibit a health  care  plan
     7  from  denying a claim for such services if the services are subsequently
     8  determined not medically necessary.
     9    § 2. Section 3217-b of the insurance law is amended by  adding  a  new
    10  subsection (k) to read as follows:
    11    (k)  An  insurer shall not require a prior authorization determination
    12  for services provided in a neonatal intensive care  unit  of  a  general
    13  hospital certified pursuant to article twenty-eight of the public health
    14  law. Nothing in this subsection shall prohibit an insurer from denying a
    15  claim  for such services if the services are subsequently determined not
    16  medically necessary.
    17    § 3. Section 4325 of the insurance law is  amended  by  adding  a  new
    18  subsection (l) to read as follows:
    19    (1)  A  corporation  organized  under this article shall not require a
    20  prior authorization determination for services provided  in  a  neonatal
    21  intensive  care unit of a general hospital certified pursuant to article
    22  twenty-eight of the public health law. Nothing in this subsection  shall
    23  prohibit a corporation organized under this article from denying a claim
    24  for  such  services  if  the  services  are  subsequently determined not
    25  medically necessary.
    26    § 4. This act shall take effect on the sixtieth  day  after  it  shall
    27  have become a law.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11617-01-7