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NY A06712
Bill
Status
3/10/2025
Primary Sponsor
Gary Pretlow
Click for details
AI Summary
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Requires insurers to pay ambulance service providers directly at negotiated rates when the provider is in-network with the insurer
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Mandates that for out-of-network ambulance providers, insurers must issue payment as a joint check naming both the insured patient and the ambulance provider as payees, at usual and customary charges that are not excessive or unreasonable
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Requires insurers to accept assignment of benefits from ambulance providers when properly filed, regardless of contrary policy language, and pay the provider directly in those cases
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Obligates insurers issuing joint checks to notify the ambulance provider electronically with patient name, date of service, payment date, payment amount, and mailing address
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Amends sections 3216, 3221, and 4303 of the insurance law to apply these requirements across individual policies, group policies, and health maintenance organizations
Legislative Description
Relates to reimbursement for ambulance services; requires insurers to submit payments directly to ambulance providers who are in-network or, for out-of-network ambulance providers, requires the issuance of a joint check to the insured specifying both the insured and the ambulance provider as payees.
Last Action
referred to insurance
1/7/2026