Bill Text: NY S06253 | 2013-2014 | General Assembly | Introduced
Bill Title: Relates to eligibility for health benefits.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Passed) 2014-07-22 - SIGNED CHAP.147 [S06253 Detail]
Download: New_York-2013-S06253-Introduced.html
S T A T E O F N E W Y O R K
________________________________________________________________________
6253
I N S E N A T E
(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2 added by chapter 547 of the laws of 2013 is REPEALED and a new subdivi-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 S 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
