New York S 8590: Relates to the imposition of the sales tax for purposes of the storage of tangible personal property
Status: REFERRED TO RULES (as of 2020-06-16)
State: New York · Session: 2019-2020 · Bill: S 8590
Sponsors: KAPLAN
Bill Text
Bill Search and Legislative Information | New York State Assembly • • • • • • • • Skip to main content New York State Assembly Speaker Carl E. Heastie --> --> --> • Assembly Members • Legislative Info • Public Hearings • Speaker's Press • Assembly Reports • Committees & More • Bill Search Home • Laws • Legislative Calendar • Public Hearing Schedule • Assembly Calendars • Assembly Committee Agenda Javascript must be enabled to properly view this page. Bill No.: • Summary • Actions • Committee Votes • Floor Votes • Memo • Text • LFIN • Chamber Video/Transcript S08590 Summary: BILL NOS08590   SAME ASSAME AS A08172   SPONSORFAHY   COSPNSRMAY   MLTSPNSR   Amd §3224-a, Ins L   Relates to establishing timeframes for the payment of claims to hospitals. Go to top S08590 Actions: BILL NOS08590   11/26/2025REFERRED TO RULES 01/07/2026REFERRED TO INSURANCE Go to topS08590 Committee Votes: Go to topS08590 Floor Votes: There are no Assembly votes for this bill in this legislative session. Go to topS08590 Text: STATE OF NEW YORK ________________________________________________________________________ 8590 2025-2026 Regular Sessions IN SENATE November 26, 2025 ___________ Introduced by Sen. FAHY -- read twice and ordered printed, and when printed to be committed to the Committee on Rules AN ACT to amend the insurance law, in relation to establishing time- frames for the payment of claims to hospitals The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subsection (a) of section 3224-a of the insurance law is 2 amended by adding 7 new paragraphs 1, 2, 3, 4, 5, 6 and 7 to read as 3 follows: 4 (1) An insurer or an organization or corporation licensed or certified 5 pursuant to article forty-three or forty-seven of this chapter or arti- 6 cle forty-four of the public health law shall pay the claim to the 7 hospital, as defined in article twenty-eight of the public health law, 8 at the contracted rate for the services and site of service as billed 9 within the timeframes set forth in this subsection. Such payment shall 10 be made regardless of any such payor's medical necessity, payment or 11 administrative policies, including, but not limited to, those policies 12 regarding preauthorization, concurrent and retrospective medical neces- 13 sity review, timely filing, and documentation requirements. 14 (2) Subsequent to and contingent upon paying the claim as billed, the 15 payor may, within ninety days, request that the hospital submit the 16 specific clinical documentation available to the treating physician at 17 the time the determination was made that hospital care was clinically 18 appropriate to a joint committee composed of equal numbers of medical 19 directors and/or delegated clinicians from the payor and the hospital 20 (the "joint committee") for a post payment review. The payor may only 21 request submission of such documentation when there is a good faith, 22 reasonable basis supported by specific information available for review 23 by the joint committee that the service rendered by the hospital was not 24 clinically appropriate. The payor shall not request documentation for 25 more than ten percent of the claims paid since the last meeting of the EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD11877-01-5 S. 8590 2 1 joint committee. If the joint committee finds that over fifty percent of 2 the cases for which documentation was requested were billed inappropri- 3 ately, the payor may prospectively increase the maximum percentage of 4 paid claims for which documentation can be requested to fifteen percent. 5 (3) Within sixty business days of receiving a request for specific 6 clinical documentation available to the treating physician at the time 7 the determination was made that inpatient hospital care was clinically 8 appropriate, the hospital shall provide the clinical documentation to 9 the joint committee for a post payment review. The joint committee shall 10 meet not less than quarterly to conduct such reviews. The payor shall 11 not reduce, adjust, amend or change the billed claims except as set 12 forth in paragraph five of this subsection. 13 (4) Failure by the hospital to provide the clinical documentation 14 necessary to confirm the medical necessity of the hospital services to 15 the joint committee within the sixty business days of request by the 16 payor, as required by paragraph three of this subsection, shall result 17 in an automatic appeal to the independent third-party review agent 18 described in paragraph five of this subsection. Nothing herein shall 19 require the joint committee to be registered as a utilization review 20 agent under article forty-nine of the pub
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