Bill Text: NY S05015 | 2013-2014 | General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Relates to the determination of overpayment recovery amounts for health care providers; provides certain requirements be met when the process known as extrapolation will be used.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2014-06-16 - PRINT NUMBER 5015B [S05015 Detail]

Download: New_York-2013-S05015-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         5015
                              2013-2014 Regular Sessions
                                   I N  S E N A T E
                                      May 6, 2013
                                      ___________
       Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
         printed to be committed to the Committee on Insurance
       AN ACT to amend the insurance law, in relation to recoveries of overpay-
         ments to health care providers
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  Paragraphs 4 and 5 of subsection (b) of section 3224-b of
    2  the insurance law are renumbered paragraphs 5 and 6 and a new  paragraph
    3  4 is added to read as follows:
    4    (4)  A  HEALTH PLAN SHALL NOT DETERMINE AN OVERPAYMENT RECOVERY AMOUNT
    5  THROUGH THE USE OF EXTRAPOLATION, EXCEPT  WHERE  THERE  IS  EVIDENCE  OF
    6  FRAUD OR INTENTIONAL MISCONDUCT.
    7    S 2. This act shall take effect immediately.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD06450-01-3