Bill Text: NY A03516 | 2021-2022 | General Assembly | Introduced

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Bill Title: Requires insurers to provide insureds or subscribers with an explanation of pharmaceutical benefits relating to claims under certain accident and health insurance policies.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Passed) 2021-12-21 - approval memo.68 [A03516 Detail]

Download: New_York-2021-A03516-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          3516

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                    January 27, 2021
                                       ___________

        Introduced by M. of A. McDONALD -- read once and referred to the Commit-
          tee on Insurance

        AN  ACT to amend the insurance law, in relation to requiring insurers to
          provide insureds or subscribers with an explanation of  pharmaceutical
          benefits  relating  to claims under certain accident and health insur-
          ance policies

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

     1    Section  1. Section 3234 of the insurance law, as added by chapter 731
     2  of the laws of 1993, is renumbered section 3244 and  subsection  (a)  of
     3  such section is amended to read as follows:
     4    (a)  Every insurer, including health maintenance organizations operat-
     5  ing under article forty-four of the public health law or article  forty-
     6  three  of this chapter and any other corporation operating under article
     7  forty-three of this chapter, is  required  to  provide  the  insured  or
     8  subscriber  with  an  explanation  of  benefits  form in response to the
     9  filing of any claim under a policy or certificate providing coverage for
    10  hospital [or], medical or pharmaceutical  expenses,  including  policies
    11  and  certificates  providing  nursing  home expense or home care expense
    12  benefits.
    13    § 2. This act shall take effect on the sixtieth  day  after  it  shall
    14  have  become a law and shall apply to all claims filed on and after such
    15  effective date. Effective immediately  the  addition,  amendment  and/or
    16  repeal  of  any  rule  or regulation necessary for the implementation of
    17  this act on its effective date are authorized to be made  and  completed
    18  on or before such date.


         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD01845-01-1