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NY A07590

Bill

Status

Introduced

5/25/2023

Primary Sponsor

Charles Lavine

Click for details

Origin

Assembly

2023-2024 General Assembly

AI Summary

  • Reduces the lookback period for health plan overpayment recovery efforts from 24 months to 3 months after original payment to a health care provider.

  • Exempts overpayment recovery based on suspected fraud, intentional misconduct, or abusive billing from the 3-month time limit.

  • Exempts overpayment recovery required by self-insured plans or state and federal government employee/retiree health programs from the 3-month time limit.

  • Allows health plans to defend against underpayment claims by offsetting with overpayments dating back to the original underpayment, regardless of the 3-month limit.

  • Takes effect 30 days after enactment.

Legislative Description

Limits the lookback period for insurance overpayment recovery from health care providers to three months.

Last Action

referred to insurance

1/3/2024

Committee Referrals

Insurance5/25/2023

Full Bill Text

No bill text available