Bill Text: NY A00650 | 2011-2012 | General Assembly | Introduced


Bill Title: Permits direct reimbursement to ambulance services for prehospital emergency medical services.

Sponsorship: Slight Partisan Bill (Democrat 8-4)

Status: (Introduced - Dead) 2012-01-04 - referred to insurance [A00650 Detail]

Download: New_York-2011-A00650-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                          650
                              2011-2012 Regular Sessions
                                 I N  A S S E M B L Y
                                      (PREFILED)
                                    January 5, 2011
                                      ___________
       Introduced  by M. of A. GUNTHER, GABRYSZAK, McDONOUGH, JAFFEE, CASTRO --
         Multi-Sponsored by -- M. of A. AMEDORE, COOK, CROUCH, HOOPER  --  read
         once and referred to the Committee on Insurance
       AN  ACT  to  amend  the  insurance law, in relation to reimbursement for
         prehospital emergency medical services
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  Subparagraph  (C)  of  paragraph  24 of subsection (i) of
    2  section 3216 of the insurance law, as added by chapter 506 of  the  laws
    3  of 2001, is amended to read as follows:
    4    (C)   An  insurer  shall  provide  reimbursement  for  those  services
    5  prescribed by this section at rates negotiated between the  insurer  and
    6  the  provider  of such services. In the absence of agreed upon rates, an
    7  insurer shall pay for such services at the usual and  customary  charge,
    8  which shall not be excessive or unreasonable.  ANY FIRE DEPARTMENT, FIRE
    9  DISTRICT  OR  AMBULANCE  DISTRICT  WHICH  PROVIDES PREHOSPITAL EMERGENCY
   10  MEDICAL SERVICES MAY SUBMIT REQUESTS FOR REIMBURSEMENT  DIRECTLY  TO  AN
   11  INSURER FOR SERVICES RENDERED IN ACCORDANCE WITH THIS PARAGRAPH.
   12    S  2.  Subparagraph  (C)  of paragraph 15 of subsection (l) of section
   13  3221 of the insurance law, as added by chapter 506 of the laws of  2001,
   14  is amended to read as follows:
   15    (C)   An  insurer  shall  provide  reimbursement  for  those  services
   16  prescribed by this section at rates negotiated between the  insurer  and
   17  the  provider  of such services. In the absence of agreed upon rates, an
   18  insurer shall pay for such services at the usual and  customary  charge,
   19  which shall not be excessive or unreasonable.  ANY FIRE DEPARTMENT, FIRE
   20  DISTRICT  OR  AMBULANCE  DISTRICT  WHICH  PROVIDES PREHOSPITAL EMERGENCY
   21  MEDICAL SERVICES MAY SUBMIT REQUESTS FOR REIMBURSEMENT  DIRECTLY  TO  AN
   22  INSURER FOR SERVICES RENDERED IN ACCORDANCE WITH THIS PARAGRAPH.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD02232-01-1
       A. 650                              2
    1    S  3.  Paragraph 3 of subsection (aa) of section 4303 of the insurance
    2  law, as added by chapter 506 of the laws of 2001, is amended to read  as
    3  follows:
    4    (3)   An  insurer  shall  provide  reimbursement  for  those  services
    5  prescribed by this section at rates negotiated between the  insurer  and
    6  the  provider  of such services. In the absence of agreed upon rates, an
    7  insurer shall pay for such services at the usual and  customary  charge,
    8  which shall not be excessive or unreasonable.  ANY FIRE DEPARTMENT, FIRE
    9  DISTRICT  OR  AMBULANCE  DISTRICT  WHICH  PROVIDES PREHOSPITAL EMERGENCY
   10  MEDICAL SERVICES MAY SUBMIT REQUESTS FOR REIMBURSEMENT  DIRECTLY  TO  AN
   11  INSURER FOR SERVICES RENDERED IN ACCORDANCE WITH THIS SUBSECTION.
   12    S  4.  This  act shall take effect on the thirtieth day after it shall
   13  have become a law.
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