Bill Text: NY A02811 | 2019-2020 | General Assembly | Introduced

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Bill Title: Prevents an insurance or managed care company from including in any insurance or managed care contract any provisions that require a dentist to provide services to a covered person at a fee set by or at a fee subject to the approval of the insurer or managed care entity unless such services are covered under the person's dental plan.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2020-01-08 - referred to insurance [A02811 Detail]

Download: New_York-2019-A02811-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          2811
                               2019-2020 Regular Sessions
                   IN ASSEMBLY
                                    January 25, 2019
                                       ___________
        Introduced  by  M.  of  A.  CYMBROWITZ  -- read once and referred to the
          Committee on Insurance
        AN ACT to amend the insurance law, in relation to discounting  uninsured
          dental services
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Section 4224 of the insurance law is amended  by  adding  a
     2  new subsection (g) to read as follows:
     3    (g) Notwithstanding any other provision of this section, no insurer or
     4  managed  care  entity  authorized  to  do  business  in this state shall
     5  include any provision in any of  its  contracts  with  a  dentist  which
     6  requires  that  a  dentist provide services to a covered person at a fee
     7  set by, or at a fee subject to the approval of, the insurer  or  managed
     8  care  entity  unless the dental services are a covered service under the
     9  person's  dental  plan.  For  purposes  of  this  subsection,   "covered
    10  services"  shall  mean dental care services for which a reimbursement is
    11  available under an enrollee's plan contract, or for which  a  reimburse-
    12  ment  would  be available but for the application of contractual limita-
    13  tions such as deductibles,  copayments,  coinsurance,  waiting  periods,
    14  annual  or lifetime maximums, frequency limitations, alternative benefit
    15  payments, or any other limitation.
    16    § 2. This act shall take effect on January 1, 2020, and shall apply to
    17  all insurance and managed care contracts issued or entered  into  on  or
    18  after January 1, 2020.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07412-01-9