S7499A-2011 Actions

• Jun 21, 2012: RECOMMITTED TO RULES
• Jun 20, 2012: ORDERED TO THIRD READING CAL.1418
• Jun 20, 2012: COMMITTEE DISCHARGED AND COMMITTED TO RULES
• Jun 15, 2012: PRINT NUMBER 7499A
• Jun 15, 2012: AMEND AND RECOMMIT TO CIVIL SERVICE AND PENSIONS
• May 29, 2012: REFERRED TO CIVIL SERVICE AND PENSIONS

S7499A-2011 Meetings

S7499A-2011 Calendars

S7499A-2011 Votes

S7499A-2011 Memo

BILL NUMBER:S7499A

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 employer1s 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:
New Bill.

FISCAL IMPLICATIONS:
None.

EFFECTIVE DATE:
Immediately.

S7499A-2011 Text

 S T A T E   O F   N E W   Y O R K
 
 7499--A
 I N  SENATE
 May 29, 2012
 
 Introduced  by Sen. FLANAGAN -- read twice and ordered printed, and when
 printed to be committed to the Committee on Civil Service and Pensions
 -- committee discharged, bill amended, ordered  reprinted  as  amended
 and recommitted to said committee
 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.
 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD15872-03-2

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