Assembly Bill A8373

2009-2010 Legislative Session

Relates to insurance reimbursement for early intervention services for infants and toddlers with disabilities

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Archive: Last Bill Status - In Assembly 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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2009-A8373 (ACTIVE) - Details

See Senate Version of this Bill:
S4657
Current Committee:
Assembly Insurance
Law Section:
Public Health Law
Laws Affected:
Amd §2559, Pub Health L; amd §3235-a, Ins L
Versions Introduced in Other Legislative Sessions:
2011-2012: A4898
2013-2014: A2783
2015-2016: A5420
2017-2018: A4684

2009-A8373 (ACTIVE) - Summary

Relates to insurance reimbursement for early intervention services for infants and toddlers with disabilities; provides that insurers and health plans shall not deny claims for such services due to lack of prior approval or out of network providers where such services are furnished pursuant to an early intervention individual family service plan.

2009-A8373 (ACTIVE) - Bill Text download pdf 

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

                                  8373

                       2009-2010 Regular Sessions

                          I N  A S S E M B L Y

                              May 15, 2009
                               ___________

Introduced by M. of A. ALESSI -- read once and referred to the Committee
  on Insurance

AN ACT to amend the public health law and the insurance law, in relation
  to insurance reimbursement for early intervention services for infants
  and toddlers with disabilities

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

  Section 1. Subdivision 3 of section 2559 of the public health  law  is
amended by adding a new paragraph (e) to read as follows:
  (E)  AN  INSURER  OR  HEALTH PLAN ADMINISTRATOR SHALL ACCEPT THE EARLY
INTERVENTION INDIVIDUAL FAMILY SERVICE PLAN AS DOCUMENTATION OF  PRE-AU-
THORIZATION  AND  PRIOR APPROVAL FOR SUCH SERVICES TO AN ELIGIBLE CHILD.
ALL SUCH SERVICES SHALL BE CONSIDERED "COVERED  SERVICES".  A  QUALIFIED
PROVIDER  OF  EARLY  INTERVENTION  SERVICES, AS DEFINED IN THIS ARTICLE,
SHALL NOT BE CONSIDERED  AN  OUT-OF-NETWORK  PROVIDER  FOR  PURPOSES  OF
COVERAGE UNDER AN INSURANCE POLICY OR HEALTH INSURANCE PLAN.
  S  2.  Section  3235-a of the insurance law is amended by adding a new
subsection (e) to read as follows:
  (E) NO INSURER, INCLUDING A HEALTH MAINTENANCE ORGANIZATION  ISSUED  A
CERTIFICATE  OF  AUTHORITY UNDER ARTICLE FORTY-FOUR OF THE PUBLIC HEALTH
LAW AND A CORPORATION ORGANIZED UNDER ARTICLE FORTY-THREE OF THIS  CHAP-
TER,  SHALL  REFUSE  TO  ACCEPT THE EARLY INTERVENTION INDIVIDUAL FAMILY
SERVICE PLAN AS DOCUMENTATION OF PRE-AUTHORIZATION  AND  PRIOR  APPROVAL
FOR  SUCH  SERVICES  TO  AN  ELIGIBLE  CHILD. ALL SUCH SERVICES SHALL BE
CONSIDERED "COVERED SERVICES". A  QUALIFIED  PROVIDER  OF  EARLY  INTER-
VENTION SERVICES, AS DEFINED IN THIS ARTICLE, SHALL NOT BE CONSIDERED AN
OUT-OF-NETWORK  PROVIDER  FOR  PURPOSES  OF  COVERAGE UNDER AN INSURANCE
POLICY OR HEALTH INSURANCE PLAN.
  S 3. This act shall take effect immediately.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD11418-01-9

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