Bill S3788-2013

Relates to transparency in health insurance claims data for public employers participating in the New York state health insurance program

Relates to transparency in health insurance claims data for public employers participating in the New York state health insurance program.

Details

Actions

  • Jun 17, 2013: SUBSTITUTED BY A481
  • Mar 20, 2013: ADVANCED TO THIRD READING
  • Mar 19, 2013: 2ND REPORT CAL.
  • Mar 18, 2013: 1ST REPORT CAL.221
  • Feb 15, 2013: REFERRED TO CIVIL SERVICE AND PENSIONS

Meetings

Votes

VOTE: COMMITTEE VOTE: - Civil Service and Pensions - Mar 18, 2013
Ayes (11): Golden, Fuschillo, Hannon, Lanza, Martins, Ritchie, Savino, Sanders, Addabbo, Dilan, Perkins

Memo

BILL NUMBER:S3788

TITLE OF BILL: An act to amend the civil service law, in relation to transparency in health insurance claims data for public employers participating in the New York state health insurance program

PURPOSE: To provide public employers participating in NYSHIP information relating to benefits, claims and premium payments on quarterly basis.

SUMMARY OF PROVISIONS:

Section 1: Requires the Department of Financial Services to disclose to all employers participating in NYSHIP information on a quarterly basis relating to that employers utilization of benefits, claims, premium payments. Including, but not limited to claims paid by the month, broken out by medical and pharmacy, and a separate listing of claims over $50,000 in compliance with the health insurance portability and accountability act of 1996.

Section 2: Establishes the effective date.

JUSTIFICATION: Local governments and school districts participating in the New York State Health Insurance Program (NYSHIP) are often not provided timely, meaningful claims information about their own claims and experience, even if they request it. This makes it difficult for them to calculate current and future health care costs. This legislation requires the Department of Financial Services to provide NYSHIP participants with information relating to benefits, claims and premium payments on a quarterly basis. The overall goal is to make NYSHIP more transparent for local governments and school districts participating in the program.

LEGISLATIVE HISTORY: 2012: S.7499-A - Rules

FISCAL IMPLICATIONS: None.

EFFECTIVE DATE: Immediately.


Text

STATE OF NEW YORK ________________________________________________________________________ 3788 2013-2014 Regular Sessions IN SENATE February 15, 2013 ___________
Introduced by Sen. FLANAGAN -- read twice and ordered printed, and when printed to be committed to the Committee on Civil Service and Pensions AN ACT to amend the civil service law, in relation to transparency in health insurance claims data for public employers participating in the New York state health insurance program THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 162 of the civil service law is amended by adding a new subdivision 9 to read as follows: 9. THE DEPARTMENT SHALL BE REQUIRED TO DISCLOSE TO ALL EMPLOYERS PARTICIPATING IN THE NEW YORK STATE HEALTH INSURANCE PROGRAM, ON A QUAR- TERLY BASIS AND IN A MANNER TO BE DIRECTED BY THE SUPERINTENDENT OF FINANCIAL SERVICES, ALL INFORMATION RELATING TO THAT EMPLOYER'S UTILIZA- TION OF PROVIDED BENEFITS, CLAIMS AND PREMIUM PAYMENTS, AND SHALL INCLUDE, BUT NOT BE LIMITED TO, CLAIMS PAID BY MONTH, BROKEN OUT BY MEDICAL AND PHARMACY, AND A SEPARATE LISTING OF CLAIMS OVER FIFTY THOU- SAND DOLLARS IN COMPLIANCE WITH THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996. S 2. This act shall take effect immediately.

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