Requires hospitals to notify patients of a non-participating physician or health care provider providing treatment at a participating hospital.
TITLE OF BILL: An act to amend the public health law, in relation to patient notification of services provided by non-participating providers at a participating hospital
PURPOSE: Requires hospitals to notify patients of a non-participating physician or health care provider providing treatment at a participating hospital.
SUMMARY OF PROVISIONS: Section 1 amends the public health law by adding § 2805-s. Section 2 is the effective date.
JUSTIFICATION: The difficulties patients encounter when seeking treatment for a serious ailment or disease can be trying. In addition to dealing with the trauma and anxiety of their condition, patients and their families are also troubled with understanding a complex health care system. When choosing a doctor and a treatment path, discovering what your insurance covers and what it does not cover can bring added stress. Many patients try hard to abide by the rules of their insurance provider by going to great lengths to select hospitals which accept their insurance. However sometimes, specialists do not accept a patients insurance, even though they practice within a hospital that does. This bill requires hospitals to notify patients if the physician providing them treatment does not accept their insurance. This will help alleviate undue financial hardship, which is incurred when a bill is received only after treatment has been administered. This will help patients make more informed decisions regarding which specialists they see for treatment.
LEGISLATIVE HISTORY: S.2539 of 2009-2010; Referred to Health
FISCAL IMPLICATIONS: None to State.
EFFECTIVE DATE: This act shall take effect on the sixtieth day after it shall have become a law.
STATE OF NEW YORK ________________________________________________________________________ 182 2011-2012 Regular Sessions IN SENATE (PREFILED) January 5, 2011 ___________Introduced by Sen. MAZIARZ -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, in relation to patient notifica- tion of services provided by non-participating providers at a partic- ipating hospital THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The public health law is amended by adding a new section 2805-u to read as follows: S 2805-U. NOTIFICATION OF NON-PARTICIPATING PROVIDERS PROVIDING TREAT- MENT AT A PARTICIPATING HOSPITAL. EVERY HOSPITAL SHALL BE REQUIRED TO NOTIFY A PATIENT ADMITTED TO SUCH HOSPITAL IF A PHYSICIAN OR HEALTH CARE PROVIDER PROVIDING TREATMENT TO SUCH PATIENT IS NOT A PARTICIPATING PROVIDER IN THE NETWORK OF ANY INSURER WHOSE PLANS OR POLICIES OF INSUR- ANCE ARE ACCEPTED BY SUCH HOSPITAL. THE NOTIFICATION REQUIRED BY THIS SECTION SHALL BE PRIOR TO SUCH PHYSICIAN OR HEALTH CARE PROVIDER TREAT- ING THE PATIENT. S 2. This act shall take effect on the sixtieth day after it shall have become a law.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD01886-01-1