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S06253 Summary:

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S06253 Floor Votes:

S06253 Text:

 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          6253
 
                    IN SENATE
 
                                       (Prefiled)
 
                                     January 8, 2014
                                       ___________
 
        Introduced  by Sen. FLANAGAN -- read twice and ordered printed, and when
          printed to be committed to the Committee on Civil Service and Pensions
 
        AN ACT to amend the civil service law, in relation  to  eligibility  for
          health benefits; and to repeal certain provisions of such law relating
          thereto
 

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision 9 of section 162 of the civil service  law,  as
     2  added  by chapter 547 of the laws of 2013 is REPEALED and a new subdivi-
     3  sion 9 is added to read as follows:
     4    9. As soon as is practicable, but no later than the first  of  Septem-
     5  ber,  two  thousand fourteen, the department shall, upon request, but no
     6  more frequently than semi-annually, provide to any participating employ-
     7  er a standard report which contains data relating to the use of benefits
     8  by persons covered under the plan by such employer.  Such  report  shall
     9  include: premiums paid by month for each month covered in the report and

    10  paid  claims  by  month for the following categories of services:  inpa-
    11  tient hospital, outpatient hospital, in network medical, out of  network
    12  medical,  prescription  drugs,  and  treatment of behavioral conditions,
    13  each reported separately. To the extent allowed  by  state  and  federal
    14  privacy  laws,  such  report  shall  also contain claims information for
    15  individual claimants for claims in excess of fifty thousand dollars that
    16  were paid in any of the months covered by the report.
    17    The department shall provide such reports to any participating employ-
    18  er, upon request submitted on or after the first of April for data  from
    19  the  first  of January through the thirty-first of December of the prior

    20  year, and on or after the first of September for data from the first  of
    21  June  of  the  prior year through the thirty-first of May of the current
    22  year, within thirty days of receipt of said request.  However,  requests
    23  submitted  in  the two thousand fourteen calendar year shall be provided
    24  as soon as practicable, but no later than the  first  of  September  two
    25  thousand  fourteen,  or within thirty days after said request if request
    26  is submitted on or after the first of August two thousand fourteen.
    27    § 2. This act shall take effect immediately and shall be deemed to  be
    28  in full force and effect on and after January 1, 2014.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.

                                                                   LBD01514-03-4