Bill Text: NY A09646 | 2011-2012 | General Assembly | Introduced


Bill Title: Relates to fair claims settlement practices under the comprehensive motor vehicle insurance reparations act; requires a medical provider to present information that the services billed are medically necessary and billed in accordance with the applicable fee schedule.

Sponsorship: Slight Partisan Bill (Democrat 13-6)

Status: (Introduced - Dead) 2012-03-22 - referred to insurance [A09646 Detail]

Download: New_York-2011-A09646-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         9646
                                 I N  A S S E M B L Y
                                    March 22, 2012
                                      ___________
       Introduced  by M. of A. MORELLE -- read once and referred to the Commit-
         tee on Insurance
       AN ACT to amend the insurance law, in relation to  settlement  practices
         under the comprehensive motor vehicle reparations act
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1.  Subsection (a) of section 5106 of  the  insurance  law  is
    2  amended by adding a new undesignated paragraph to read as follows:
    3    THE  CLAIMANT HAS THE BURDEN OF PROOF TO SHOW THE EXPENSES UNDER PARA-
    4  GRAPH ONE OF SUBSECTION (A) OF SECTION FIVE THOUSAND ONE HUNDRED TWO  OF
    5  THIS  ARTICLE WERE MEDICALLY NECESSARY AND IN ACCORDANCE WITH THE APPLI-
    6  CABLE FEE SCHEDULE. EVIDENCE OF MAILING A CLAIM FORM SHALL NOT BE SUFFI-
    7  CIENT TO MEET THIS BURDEN.
    8    S 2. This act shall take effect immediately and  shall  apply  to  all
    9  actions  and proceedings commenced on or after such date; and shall also
   10  apply to any action or proceeding which  was  commenced  prior  to  such
   11  effective date where, as of such date, a trial of the issues has not yet
   12  commenced.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD14983-01-2
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