Bill Text: NY A09019 | 2023-2024 | General Assembly | Amended
Bill Title: Includes permissible payment methods, advance consent for direct payments, and annually providing the updated rate schedule as required terms for certain insurance contracts.
Spectrum: Partisan Bill (Democrat 6-0)
Status: (Introduced) 2024-05-28 - ordered to third reading rules cal.182 [A09019 Detail]
Download: New_York-2023-A09019-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 9019--A IN ASSEMBLY February 5, 2024 ___________ Introduced by M. of A. WOERNER, THIELE, GLICK, McDONALD, BICHOTTE HERME- LYN -- read once and referred to the Committee on Insurance -- commit- tee discharged, bill amended, ordered reprinted as amended and recom- mitted to said committee AN ACT to amend the insurance law and the public health law, in relation to required terms for certain insurance contracts The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Paragraph 3 of subsection (e) of section 3217-b of the 2 insurance law, as added by chapter 586 of the laws of 1998, is amended 3 and three new paragraphs 3-a, 3-b and 3-c are added to read as follows: 4 (3) a description of the records or information relied upon to calcu- 5 late any such payments and adjustments, including the date of service, 6 patient identification number, an identification of the service for 7 which the payment is made, the reimbursement paid by the insurer for the 8 service, and a description of how the provider can access a summary of 9 such calculations and adjustments; 10 (3-a) the permissible payment methods as check, direct deposit, debit 11 or credit card or online payment system, provided the health care 12 provider can access the payment in full, without encumbrances, costs, 13 charges, or fees, including a fee for replacement of a lost or stolen 14 check, under at least one payment method offered by the insurer; 15 (3-b) the advance written consent of a provider to the insurer for the 16 method of payment and to directly pay or deposit payments in a bank or 17 other financial institution of the provider's choosing; 18 (3-c) the insurer's annual obligation, beginning on the effective date 19 of this paragraph and continuing every first of January thereafter, to 20 provide the health care provider with an updated payment rate schedule; 21 § 2. Paragraph 3 of subsection (e) of section 4325 of the insurance 22 law, as added by chapter 586 of the laws of 1998, is amended and three 23 new paragraphs 3-a, 3-b and 3-c are added to read as follows: 24 (3) a description of the records or information relied upon to calcu- 25 late any such payments and adjustments, including the date of service, 26 patient identification number, an identification of the service for EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD14217-02-4A. 9019--A 2 1 which the payment is made, the reimbursement paid by the corporation for 2 the service, and a description of how the provider can access a summary 3 of such calculations and adjustments; 4 (3-a) the permissible payment methods as check, direct deposit, debit 5 or credit card or online payment system, provided the health care 6 provider can access the payment in full, without encumbrances, costs, 7 charges, or fees, including a fee for replacement of a lost or stolen 8 check, under at least one payment method offered by the corporation; 9 (3-b) the advance written consent of a provider to the corporation for 10 the method of payment and to directly pay or deposit payments in a bank 11 or other financial institution of the provider's choosing; 12 (3-c) the corporation's annual obligation, beginning on the effective 13 date of this paragraph and continuing every first of January thereafter, 14 to provide the health care provider with an updated payment rate sched- 15 ule, including a description of any services bundled within a single 16 rate; 17 § 3. Paragraph (c) of subdivision 5-a of section 4406-c of the public 18 health law, as added by chapter 586 of the laws of 1998, is amended and 19 three new paragraphs (c-1), (c-2) and (c-3) are added to read as 20 follows: 21 (c) a description of the records or information relied upon to calcu- 22 late any such payments and adjustments, including the date of service, 23 patient identification number, an identification of the service for 24 which the payment is made, the reimbursement paid by the health care 25 plan for the service, and a description of how the provider can access a 26 summary of such calculations and adjustments; 27 (c-1) the permissible payment methods as check, direct deposit, debit 28 or credit card or online payment system, provided the health care 29 provider can access the payment in full, without encumbrances, costs 30 charges, or fees, including a fee for replacement of a lost or stolen 31 check, under at least one payment method offered by the health care 32 plan; 33 (c-2) the advance written consent of a provider to the health care 34 plan for the method of payment and to directly pay or deposit payments 35 in a bank or other financial institution of the provider's choosing; 36 (c-3) the health care plan's annual obligation, beginning on the 37 effective date of this paragraph and continuing every first of January 38 thereafter, to provide the health care provider with an updated payment 39 rate schedule, including a description of any services bundled within a 40 single rate; 41 § 4. This act shall take effect on the thirtieth day after it shall 42 have become a law and shall apply to all contracts entered into, 43 renewed, modified or amended on or after such effective date.
