Senate Bill S7500A

2013-2014 Legislative Session

Requires health insurers to accept payments for coverage of health care from third parties

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Archive: Last Bill Status Via A10091 - In Senate Committee

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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Bill Amendments

2013-S7500 - Details

See Assembly Version of this Bill:
A10091
Law Section:
Public Health Law
Laws Affected:
Amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A1064
2017-2018: A27
2019-2020: A144
2021-2022: A1096

2013-S7500 - Summary

Requires health insurers to accept payments for coverage of health care from third parties.

2013-S7500 - Sponsor Memo

2013-S7500 - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  7500

                            I N  S E N A T E

                              May 15, 2014
                               ___________

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 requiring health insurers to accept third party payments for cover-
  age

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.  Section  4406-d  of  the  public health law is amended by
adding a new subdivision 10 to read as follows:
  10. A HEALTH CARE PLAN SHALL NOT BY CONTRACT OR IN  ANY  OTHER  MANNER
REFUSE  TO  ACCEPT  PREMIUM  OR  ANY REQUIRED COST SHARING PAYMENTS FROM
THIRD-PARTIES IF MADE BY A HEALTH CARE PROVIDER, OR A PRIVATE,  NOT-FOR-
PROFIT FOUNDATION, ON BEHALF OF AN ENROLLEE WHO SATISFIES DEFINED CRITE-
RIA  THAT  ARE  BASED  ON  FINANCIAL  STATUS  AND DO NOT CONSIDER HEALTH
STATUS, AND THE PAYMENT COVERS THE ENTIRE POLICY YEAR.
  S 2. Section 3217-b of the insurance law is amended by  adding  a  new
subsection (k) to read as follows:
  (K)  AN INSURER SHALL NOT BY CONTRACT OR IN ANY OTHER MANNER REFUSE TO
ACCEPT PREMIUM OR ANY REQUIRED COST SHARING PAYMENTS FROM  THIRD-PARTIES
IF  MADE BY A HEALTH CARE PROVIDER, OR A PRIVATE, NOT-FOR-PROFIT FOUNDA-
TION, ON BEHALF OF AN INSURED WHO SATISFIES DEFINED  CRITERIA  THAT  ARE
BASED  ON  FINANCIAL  STATUS  AND DO NOT CONSIDER HEALTH STATUS, AND THE
PAYMENT COVERS THE ENTIRE POLICY YEAR.
  S 3. Section 4325 of the insurance law is  amended  by  adding  a  new
subsection (1) to read as follows:
  (1)  A  CORPORATION ORGANIZED UNDER THIS ARTICLE SHALL NOT BY CONTRACT
OR IN ANY OTHER MANNER REFUSE TO ACCEPT PREMIUM  OR  ANY  REQUIRED  COST
SHARING  PAYMENTS  FROM THIRD-PARTIES IF MADE BY A HEALTH CARE PROVIDER,
OR A PRIVATE, NOT-FOR-PROFIT FOUNDATION, ON BEHALF OF A  SUBSCRIBER  WHO
SATISFIES DEFINED CRITERIA THAT ARE BASED ON FINANCIAL STATUS AND DO NOT
CONSIDER HEALTH STATUS, AND PAYMENT COVERS THE ENTIRE POLICY YEAR.
  S 4. This act shall take effect January 1, 2015.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD15119-02-4

2013-S7500A (ACTIVE) - Details

See Assembly Version of this Bill:
A10091
Law Section:
Public Health Law
Laws Affected:
Amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A1064
2017-2018: A27
2019-2020: A144
2021-2022: A1096

2013-S7500A (ACTIVE) - Summary

Requires health insurers to accept payments for coverage of health care from third parties.

2013-S7500A (ACTIVE) - Sponsor Memo

2013-S7500A (ACTIVE) - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 7500--A

                            I N  S E N A T E

                              May 15, 2014
                               ___________

Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
  printed to be committed to the Committee on Health -- reported favora-
  bly from said committee and committed to the Committee on  Finance  --
  committee  discharged,  bill amended, ordered reprinted as amended and
  recommitted to said committee

AN ACT to amend the public health law and the insurance law, in relation
  to requiring health insurers to accept third party payments for cover-
  age

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.  Section  4406-c  of  the  public health law is amended by
adding a new subdivision 9 to read as follows:
  9. WITH REGARD TO A SUBSCRIBER CONTRACT OFFERED THROUGH THE INDIVIDUAL
MARKET, A HEALTH MAINTENANCE ORGANIZATION SHALL NOT BY  CONTRACT  OR  IN
ANY  OTHER  MANNER REFUSE TO ACCEPT PREMIUM OR ANY REQUIRED COST SHARING
PAYMENTS FROM THIRD-PARTIES IF MADE  BY  (A)  AN  INDIAN  TRIBE,  TRIBAL
ORGANIZATION, URBAN INDIAN ORGANIZATION, OR ANY STATE OR FEDERAL GOVERN-
MENT  PROGRAM  OR  GRANTEE  (SUCH AS THE RYAN WHITE HIV/AIDS PROGRAM) ON
BEHALF OF AN ENROLLEE, OR (B) A PRIVATE, NOT-FOR-PROFIT  FOUNDATION,  ON
BEHALF  OF  AN ENROLLEE WHO SATISFIES DEFINED CRITERIA THAT ARE BASED ON
FINANCIAL STATUS AND DO NOT CONSIDER  HEALTH  STATUS,  AND  THE  PAYMENT
COVERS THE ENTIRE POLICY YEAR.
  S  2.  Section  3217-b of the insurance law is amended by adding a new
subsection (k) to read as follows:
  (K) WITH REGARD TO AN INSURANCE POLICY OFFERED THROUGH THE  INDIVIDUAL
MARKET,  AN  INSURER SHALL NOT BY CONTRACT OR IN ANY OTHER MANNER REFUSE
TO ACCEPT PREMIUM OR ANY REQUIRED COST SHARING PAYMENTS FROM  THIRD-PAR-
TIES  IF  MADE BY (1) AN INDIAN TRIBE, TRIBAL ORGANIZATION, URBAN INDIAN
ORGANIZATION, OR ANY STATE OR  FEDERAL  GOVERNMENT  PROGRAM  OR  GRANTEE
(SUCH  AS  THE  RYAN WHITE HIV/AIDS PROGRAM) ON BEHALF OF AN INSURED, OR
(2) A PRIVATE, NOT-FOR-PROFIT FOUNDATION, ON BEHALF OF  AN  INSURED  WHO
SATISFIES DEFINED CRITERIA THAT ARE BASED ON FINANCIAL STATUS AND DO NOT
CONSIDER HEALTH STATUS, AND THE PAYMENT COVERS THE ENTIRE POLICY YEAR.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD15119-06-4

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