New York A 6360: Relates to the coordination of no-fault benefits for persons injured in motor vehicle accidents

Bill Text

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A06360 Summary:

BILL NOA06360 

&nbsp

SAME ASSAME AS S02496

&nbsp

SPONSORSeptimo

&nbsp

COSPNSRBores, Kelles, Simon, Simone, Paulin

&nbsp

MLTSPNSR

&nbsp

Add §5110, Ins L

&nbsp

Requires that insurers providing no-fault coverage reimburse other insurers for the payment of claims to providers which should have been covered by a no-fault insurer.

Go to top A06360 Actions:

BILL NOA06360 

&nbsp

03/04/2025referred to insurance

01/07/2026referred to insurance

Go to topA06360 Committee&nbspVotes:

Go to topA06360 Floor&nbspVotes:

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

Go to topA06360 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 6360

 2025-2026 Regular Sessions

 IN ASSEMBLY

 March 4, 2025
 ___________

 Introduced by M. of A. SEPTIMO, BORES, KELLES, SIMON, SIMONE, PAULIN --
 read once and referred to the Committee on Insurance

 AN ACT to amend the insurance law, in relation to the coordination of
 no-fault benefits for persons injured in motor vehicle accidents

 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 5110
 2 to read as follows:
 3 § 5110. Payment for services provided for motor vehicle injuries. 1.
 4 Any provider of treatment to any covered person, who renders care or
 5 supplies a product within seventy-two hours of the motor vehicle acci-
 6 dent, in the absence of fraud or deception by the claimant, is conclu-
 7 sively presumed to have accepted, and to have consented to, an assign-
 8 ment of no-fault benefits under this article in the form prescribed by
 9 the superintendent. The provisions of this subdivision shall apply if
 10 the provider knows, or is on notice of facts that indicate that the
 11 injuries or conditions treated are the result of a motor vehicle acci-
 12 dent which occurred in the preceding seventy-two hours.
 13 2. Any provider of treatment to a covered person who mistakenly or
 14 otherwise bills an insurer other than the no-fault insurer for claims
 15 eligible for first-party benefits under this article must, upon presen-
 16 tation with proof of applicable coverage under article six, eight or
 17 forty-four-B of the vehicle and traffic law, return such fees and seek
 18 payment for services from the no-fault insurer instead. A provider shall
 19 be permitted to maintain insurance information in the event it is estab-
 20 lished that there are no first-party benefits available for emergency
 21 treatment under this article.
 22 3. The time limit for presentation of invoices to an insurer shall be
 23 measured from the first date on which the provider or the patient first
 24 presented the invoice to any insurer.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD03788-01-5

 A. 6360 2

 1 4. Any compensation provider that, notwithstanding the other
 2 provisions of this law, pays for the emergency treatment of a covered
 3 person, has a right of direct action against the insurer liable for
 4 coverage under this article for reimbursement, but in no case will the
 5 reimbursement exceed the amount of lawful benefits according to state-
 6 promulgated fee schedules.
 7 5. No insurer providing coverage under this article shall exclude
 8 reimbursement for first-party benefits which have been paid to a health
 9 care provider or medical equipment supplier by a compensation provider
 10 not under this article.
 11 § 2. This act shall take effect immediately.

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