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NY A03769
Bill
Status
1/30/2025
Primary Sponsor
Jeffrey Dinowitz
Click for details
AI Summary
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Requires the Superintendent of Insurance, in consultation with the Commissioner of Health, to designate an independent consumer assistance program for health insurance matters
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Program must assist consumers with filing complaints and appeals through both internal health plan grievance processes and external appeals/administrative hearings
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Program responsibilities include collecting and tracking consumer problems, educating consumers on their rights, assisting with health plan enrollment, and helping resolve premium tax credit issues
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Must help uninsured, insured, or underinsured consumers access health care services, hospital financial assistance, and resolve health care billing disputes
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All New York state-regulated health plans must include the consumer assistance program's contact information on adverse determination notices, explanation of benefits, subscriber agreements, member handbooks, and other consumer-facing materials
Legislative Description
Relates to the designation of an independent consumer assistance program to assist consumers with the filing of complaints and appeals, track problems, educate consumers, assist uninsured, insured, or underinsured consumers in accessing appropriate health care services, assist with enrollment and provide other health insurance assistance.
Last Action
referred to insurance
1/7/2026