New York S 3365: Caps the amount of collectible rent increases due to major capital improvements at six percent of the legal regulated rent

Bill Text

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S03365 Summary:

BILL NOS03365 

&nbsp

SAME ASNo Same As

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SPONSORRIVERA

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COSPNSR

&nbsp

MLTSPNSR

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Amd §3621, Pub Health L

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Relates to payment of claims submitted by healthcare agencies.

Go to top S03365 Actions:

BILL NOS03365 

&nbsp

01/27/2025REFERRED TO HEALTH

01/07/2026REFERRED TO HEALTH

Go to topS03365 Committee&nbspVotes:

Go to topS03365 Floor&nbspVotes:

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

Go to topS03365 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 3365

 2025-2026 Regular Sessions

 IN SENATE

 January 27, 2025
 ___________

 Introduced by Sen. RIVERA -- read twice and ordered printed, and when
 printed to be committed to the Committee on Health

 AN ACT to amend the public health law, in relation to payment of claims
 submitted by healthcare agencies

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

 1 Section 1. Section 3621 of the public health law, as added by section
 2 57-a of part A of chapter 56 of the laws of 2013, is amended to read as
 3 follows:
 4 § 3621. Payment of claims. 1. Notwithstanding any law to the contrary,
 5 the provisions of section thirty-two hundred twenty-four-a of the insur-
 6 ance law, and regulations thereunder, shall apply to claims for payment
 7 submitted by a licensed home care services agency, certified home health
 8 agency, long term home health care program, or fiscal intermediary oper-
 9 ating under section three hundred sixty-five-f of the social services
 10 law, pursuant to a contract with a payor under section forty-four
 11 hundred three-f of this chapter or section three hundred sixty-four-j of
 12 the social services law, and such claims shall be subject to and settled
 13 in compliance with the standards set forth in such section.
 14 2. The payor shall pay a clean claim (a) within thirty days of receipt
 15 of a claim that is transmitted via the internet or electronic mail, or
 16 (b) within forty-five days of receipt of a claim that is submitted by
 17 other means, such as paper or facsimile.
 18 3. The payor shall pay any undisputed portion of a claim as a clean
 19 claim as set forth in subdivision two of this section. The payor shall
 20 notify a provider under this article in writing within fifteen calendar
 21 days of the receipt of an initial claim of all specific defects or
 22 disputes of such claim and specifically request in writing the addi-
 23 tional information or remedy needed to process any disputed portions of
 24 the claim. No further defect or dispute of the claim may be asserted by
 25 the payor, unless it is asserted on the basis of new information relat-

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD07015-01-5

 S. 3365 2

 1 ing to the claim that the payor did not know and could not reasonably
 2 have known prior to the notification.
 3 4. Any disputed claim remedied shall be paid as a clean claim under
 4 subdivision two of this section.
 5 5. For the purposes of this section, a "clean claim" means a claim for
 6 payment for services under this article for which the payor is obligated
 7 to provide payment and that shall:
 8 (a) identify the licensed home care services program, certified home
 9 health agency, long term home health care program or fiscal intermediary
 10 operating pursuant to section three hundred sixty-five-f of the social
 11 services law;
 12 (b) sufficiently identify the eligible covered person, the nature of
 13 the services and list the date and place of service;
 14 (c) substantiate the appropriateness of the service provided;
 15 (d) if prior authorization is required for such eligible covered
 16 person and service, state that such prior authorization was obtained;
 17 and
 18 (e) include any documentation as reasonably required by any entity
 19 referenced in this section.
 20 6. Each clean claim or payment for services processed in violation of
 21 this section shall constitute a separate violation. In addition to the
 22 penalties provided in this chapter, any organization or corporation that
 23 fails to adhere to the standards contained in this section shall be
 24 obligated to pay to certified home health agencie