New York A 1421: Relates to the overpayment of insurance claims

Bill Text

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A01421 Summary:

BILL NOA01421 

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SAME ASNo Same As

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SPONSORRosenthal

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COSPNSR

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MLTSPNSR

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Amd §3224-b, Ins L

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Prevents health plans from engaging in overpayment recovery efforts that include contacting the patient to seek reimbursement for such overpayment of claims.

Go to top A01421 Actions:

BILL NOA01421 

&nbsp

01/09/2025referred to insurance

01/07/2026referred to insurance

Go to topA01421 Committee&nbspVotes:

Go to topA01421 Floor&nbspVotes:

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

Go to topA01421 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 1421

 2025-2026 Regular Sessions

 IN ASSEMBLY

 January 9, 2025
 ___________

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

 AN ACT to amend the insurance law, in relation to overpayment of insur-
 ance claims

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

 1 Section 1. Paragraph 1 of subsection (b) of section 3224-b of the
 2 insurance law, as amended by chapter 237 of the laws of 2009, is amended
 3 to read as follows:
 4 (1) Other than recovery for duplicate payments, a health plan shall
 5 provide thirty days written notice to health care providers before
 6 engaging in additional overpayment recovery efforts seeking recovery of
 7 the overpayment of claims to such health care providers. Such notice
 8 shall state the patient name, service date, payment amount, proposed
 9 adjustment, and a reasonably specific explanation of the proposed
 10 adjustment. A health plan shall not engage in any overpayment recovery
 11 efforts that include contacting the patient to seek reimbursement for
 12 such overpayment of claims.
 13 § 2. This act shall take effect on the ninetieth day after it shall
 14 have become a law and shall apply to policies and contracts issued,
 15 renewed, modified, altered or amended on or after such effective date.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD03931-01-5

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