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NY A03488
Bill
Status
1/28/2025
Primary Sponsor
Erik Dilan
Click for details
AI Summary
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Requires billing entities to notify insured patients prior to any procedure, test, or surgery that an out-of-network physician may be involved and that such services will not be covered by their insurance policy
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Mandates insurance coverage for out-of-network physician costs if the patient did not receive proper advance notification about the out-of-network provider
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Applies to accident and health insurance policies delivered or issued in New York State
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Amends Insurance Law sections 3216 and 3221 to create these notification requirements for both individual and group insurance policies
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Takes effect immediately upon enactment
Legislative Description
Requires notification to insureds that an out-of-network physician may be used in their procedure, test or surgery and such physician's services shall not be covered by their insurance policy; provides such services must be covered if the insured person does not receive notification prior to such services or procedure.
Last Action
referred to insurance
1/7/2026