Bill Text: NY A01663 | 2023-2024 | General Assembly | Introduced

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Bill Title: Prevents health plans from engaging in overpayment recovery efforts that include contacting the patient to seek reimbursement for such overpayment of claims.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2024-01-03 - referred to insurance [A01663 Detail]

Download: New_York-2023-A01663-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          1663

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                    January 17, 2023
                                       ___________

        Introduced  by  M.  of  A. L. ROSENTHAL -- read once and referred to the
          Committee on Insurance

        AN ACT to amend the insurance law, in relation to overpayment of  insur-
          ance claims

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Paragraph 1 of subsection (b)  of  section  3224-b  of  the
     2  insurance law, as amended by chapter 237 of the laws of 2009, is amended
     3  to read as follows:
     4    (1)  Other  than  recovery for duplicate payments, a health plan shall
     5  provide thirty days written  notice  to  health  care  providers  before
     6  engaging  in additional overpayment recovery efforts seeking recovery of
     7  the overpayment of claims to such health  care  providers.  Such  notice
     8  shall  state  the  patient  name, service date, payment amount, proposed
     9  adjustment, and  a  reasonably  specific  explanation  of  the  proposed
    10  adjustment.  A  health plan shall not engage in any overpayment recovery
    11  efforts that include contacting the patient to  seek  reimbursement  for
    12  such overpayment of claims.
    13    §  2.  This  act shall take effect on the ninetieth day after it shall
    14  have become a law and shall apply  to  policies  and  contracts  issued,
    15  renewed, modified, altered or amended on or after such effective date.




         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD05770-01-3