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NY A07590
Bill
Status
5/25/2023
Primary Sponsor
Charles Lavine
Click for details
AI Summary
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Reduces the lookback period for health plan overpayment recovery efforts from 24 months to 3 months after original payment to a health care provider.
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Exempts overpayment recovery based on suspected fraud, intentional misconduct, or abusive billing from the 3-month time limit.
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Exempts overpayment recovery required by self-insured plans or state and federal government employee/retiree health programs from the 3-month time limit.
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Allows health plans to defend against underpayment claims by offsetting with overpayments dating back to the original underpayment, regardless of the 3-month limit.
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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