New York A 3683: Relates to required terms for certain insurance contracts

Bill Text

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A03683 Summary:

BILL NOA03683 

&nbsp

SAME ASSAME AS S05319

&nbsp

SPONSORWoerner

&nbsp

COSPNSRGlick, Bichotte Hermelyn, Weprin, Romero, McDonald

&nbsp

MLTSPNSR

&nbsp

Amd §§3217-b & 4325, Ins L; amd §4406-c, Pub Health L

&nbsp

Includes permissible payment methods, advance consent for direct payments, and annually providing the updated rate schedule as required terms for certain insurance contracts.

Go to top A03683 Actions:

BILL NOA03683 

&nbsp

01/29/2025referred to insurance

01/07/2026referred to insurance

Go to topA03683 Committee&nbspVotes:

Go to topA03683 Floor&nbspVotes:

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

Go to topA03683 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 3683

 2025-2026 Regular Sessions

 IN ASSEMBLY

 January 29, 2025
 ___________

 Introduced by M. of A. WOERNER, GLICK, BICHOTTE HERMELYN, WEPRIN -- read
 once and referred to the Committee on Insurance

 AN ACT to amend the insurance law and the public health law, in relation
 to required terms for certain insurance contracts

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

 1 Section 1. Paragraph 3 of subsection (e) of section 3217-b of the
 2 insurance law, as added by chapter 586 of the laws of 1998, is amended
 3 and three new paragraphs 3-a, 3-b and 3-c are added to read as follows:
 4 (3) a description of the records or information relied upon to calcu-
 5 late any such payments and adjustments, including the date of service,
 6 patient identification number, an identification of the service for
 7 which the payment is made, the reimbursement paid by the insurer for the
 8 service, and a description of how the provider can access a summary of
 9 such calculations and adjustments;
 10 (3-a) the permissible payment methods as check, direct deposit, debit
 11 or credit card or online payment system, provided the health care
 12 provider can access the payment in full, without encumbrances, costs,
 13 charges, or fees, including a fee for replacement of a lost or stolen
 14 check, under at least one payment method offered by the insurer;
 15 (3-b) the advance written consent of a provider to the insurer for the
 16 method of payment and to directly pay or deposit payments in a bank or
 17 other financial institution of the provider's choosing;
 18 (3-c) the insurer's annual obligation, beginning on the effective date
 19 of this paragraph and continuing every first of January thereafter, to
 20 provide the health care provider with an updated payment rate schedule;
 21 § 2. Paragraph 3 of subsection (e) of section 4325 of the insurance
 22 law, as added by chapter 586 of the laws of 1998, is amended and three
 23 new paragraphs 3-a, 3-b and 3-c are added to read as follows:
 24 (3) a description of the records or information relied upon to calcu-
 25 late any such payments and adjustments, including the date of service,

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD07324-01-5

 A. 3683 2

 1 patient identification number, an identification of the service for
 2 which the payment is made, the reimbursement paid by the corporation for
 3 the service, and a description of how the provider can access a summary
 4 of such calculations and adjustments;
 5 (3-a) the permissible payment methods as check, direct deposit, debit
 6 or credit card or online payment system, provided the health care
 7 provider can access the payment in full, without encumbrances, costs,
 8 charges, or fees, including a fee for replacement of a lost or stolen
 9 check, under at least one payment method offered by the corporation;
 10 (3-b) the advance written consent of a provider to the corporation for
 11 the method of payment and to directly pay or deposit payments in a bank
 12 or other financial institution of the provider's choosing;
 13 (3-c) the corporation's annual obligation, beginning on the effective
 14 date of this paragraph and continuing every first of January thereafter,
 15 to provide the health care provider with an updated payment rate sched-
 16 ule, including a description of any services bundled within a single
 17 rate;
 18 § 3. Paragraph (c) of subdivision 5-a of secti