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NY A01065

Bill

Status

Introduced

1/7/2021

Primary Sponsor

Amy Paulin

Click for details

Origin

Assembly

2021-2022 General Assembly

AI Summary

  • Amends insurance law to prohibit policies from excluding coverage for early intervention services provided under New York's early intervention program based solely on the nature of the services.

  • Requires individualized family services plans certified by early intervention officials to be deemed as meeting any precertification, preauthorization, and medical necessity requirements for covered services.

  • Allows providers to redact non-payment-related information from individualized family services plans before submission to insurers.

  • Establishes payment rates for early intervention services covered under policies at rates set by the commissioner of health through regulations.

  • Prohibits insurers and HMOs from denying early intervention claims based on service location, duration of the child's condition, or whether the provider is in-network.

Legislative Description

Relates to insurance coverage of early intervention services.

Last Action

enacting clause stricken

9/16/2022

Committee Referrals

Insurance1/7/2021

Full Bill Text

No bill text available