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

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 Speaker Carl E. Heastie

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S08590 Summary:

BILL NOS08590 

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SAME ASSAME AS A08172

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SPONSORFAHY

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COSPNSRMAY

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MLTSPNSR

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Amd §3224-a, Ins L

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Relates to establishing timeframes for the payment of claims to hospitals.

Go to top S08590 Actions:

BILL NOS08590 

&nbsp

11/26/2025REFERRED TO RULES

01/07/2026REFERRED TO INSURANCE

Go to topS08590 Committee&nbspVotes:

Go to topS08590 Floor&nbspVotes:

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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