Bill Text: NY S06053 | 2017-2018 | General Assembly | Introduced
Bill Title: Prohibits requiring prior authorization for the provision of coverage for services provided in a neonatal intensive care unit.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Passed) 2017-10-23 - SIGNED CHAP.389 [S06053 Detail]
Download: New_York-2017-S06053-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 6053 2017-2018 Regular Sessions IN SENATE May 10, 2017 ___________ Introduced by Sen. HANNON -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law and the insurance law, in relation to health care coverage for neonatal intensive care services The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 4406-c of the public health law is amended by 2 adding a new subdivision 9 to read as follows: 3 9. A health care plan shall not require a prior authorization determi- 4 nation for services provided in a neonatal intensive care unit of a 5 general hospital certified pursuant to article twenty-eight of this 6 chapter. Nothing in this subdivision shall prohibit a health care plan 7 from denying a claim for such services if the services are subsequently 8 determined not medically necessary. 9 § 2. Section 3217-b of the insurance law is amended by adding a new 10 subsection (k) to read as follows: 11 (k) An insurer shall not require a prior authorization determination 12 for services provided in a neonatal intensive care unit of a general 13 hospital certified pursuant to article twenty-eight of the public health 14 law. Nothing in this subsection shall prohibit an insurer from denying a 15 claim for such services if the services are subsequently determined not 16 medically necessary. 17 § 3. Section 4325 of the insurance law is amended by adding a new 18 subsection (l) to read as follows: 19 (1) A corporation organized under this article shall not require a 20 prior authorization determination for services provided in a neonatal 21 intensive care unit of a general hospital certified pursuant to article 22 twenty-eight of the public health law. Nothing in this subsection shall 23 prohibit a corporation organized under this article from denying a claim 24 for such services if the services are subsequently determined not 25 medically necessary. 26 § 4. This act shall take effect on the sixtieth day after it shall 27 have become a law. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11617-01-7