Bill Text: NY S05777 | 2017-2018 | General Assembly | Introduced

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Bill Title: Requires health plans providing coverage under the affordable care act to, upon request of a health care provider, provide information on an enrollee's eligibility during the grace period.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2018-01-03 - REFERRED TO INSURANCE [S05777 Detail]

Download: New_York-2017-S05777-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          5777
                               2017-2018 Regular Sessions
                    IN SENATE
                                     April 28, 2017
                                       ___________
        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 qualified health plans
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  The insurance law is amended by adding a new section 3242
     2  to read as follows:
     3    § 3242. Qualified health plans: premiums and  grace  period.  (a)  For
     4  purposes of this section:
     5    (1)  "Qualified health plan" shall have the same meaning as defined in
     6  section 1301 of the affordable care act, 42 U.S.C. § 18021, or any regu-
     7  lations promulgated thereunder.
     8    (2) "Grace period" means the three month period allowed for nonpayment
     9  of premiums by an enrollee pursuant to section 1412  of  the  affordable
    10  care act, 42 U.S.C. § 18082, or any regulations promulgated thereunder.
    11    (b)  For  an enrollee who is in the second or third month of the grace
    12  period, an issuer of a qualified health plan shall:
    13    (1) upon request by a provider, provide information within three busi-
    14  ness days regarding the enrollee's eligibility status, transmitted elec-
    15  tronical to the extent practicable; and
    16    (2) notify a provider that an enrollee is in the grace  period  within
    17  three business days after the submittal of a claim or status request for
    18  services  provided,  with  such notification, to the extent practicable,
    19  provided electronically.
    20    § 2. This act shall take effect July 1, 2018.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11298-01-7