New York A 7292: Provides for notification to hospital patients upon intake of reports of hospital-acquired infections

Bill Text

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A07292 Summary:

BILL NOA07292 

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SAME ASNo Same As

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SPONSORPretlow

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COSPNSR

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MLTSPNSR

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Add §2601-a, Ins L

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Directs a health maintenance organization which denies a claim due to absence of medical necessity to inform the insured as to preferred alternative treatment, or provide the insured with a statement as to the past ineffectiveness of the requested procedure or treatment.

Go to top A07292 Actions:

BILL NOA07292 

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03/25/2025referred to insurance

01/07/2026referred to insurance

Go to topA07292 Committee&nbspVotes:

Go to topA07292 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA07292 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 7292

 2025-2026 Regular Sessions

 IN ASSEMBLY

 March 25, 2025
 ___________

 Introduced by M. of A. PRETLOW -- read once and referred to the Commit-
 tee on Insurance

 AN ACT to amend the insurance law, in relation to notice by health main-
 tenance organizations that a request for coverage of a particular
 treatment is denied

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. The insurance law is amended by adding a new section 2601-a
 2 to read as follows:
 3 § 2601-a. Denial of coverage or treatment by a health maintenance
 4 organization. Whenever a health maintenance organization, doing business
 5 in this state, denies a claim for coverage of a particular procedure or
 6 treatment because such procedure or treatment is not medically neces-
 7 sary, the health maintenance organization shall inform the insured as to
 8 those preferred procedure or treatment options which would be covered,
 9 or provide the insured with a statement as to the past ineffectiveness
 10 of the requested procedure or treatment.
 11 § 2. This act shall take effect on the thirtieth day after it shall
 12 have become a law.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD11000-01-5

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