NY A03365

Reduces the lookback period for health insurance plans to recover overpayments from health care providers from 24 months to 12 months after the original payment was received

Maintains existing exceptions allowing unlimited lookback periods for overpayment recovery based on suspected fraud, intentional misconduct, or abusive billing practices

Preserves exceptions for overpayment recovery initiated by self-insured plans or required by state/federal government programs, including coverage for government employees and retirees

Allows health plans to use older overpayments as a defense or setoff when providers claim underpayment, going back as far as the claimed underpayment period

Takes effect 30 days after becoming law