Bill
Bill > A02342
NY A02342
NY A02342Requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care when the patient has a long term relationship with a medical professional who is not a recurring provider under the managed care provider's network.
summary
Introduced
01/14/2021
01/14/2021
In Committee
01/05/2022
01/05/2022
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
2021-2022 General Assembly
Bill Summary
Requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care when the patient has a long term relationship with a medical professional who is not a recurring provider under the managed care provider's network.
AI Summary
This bill requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network healthcare when the patient has a long-term relationship (at least 90 days and 10 visits) with a medical professional who is not part of the managed care provider's network. The coverage must be included at the time of application for medical assistance or on the anniversary date of the existing coverage, subject to any appropriate deductibles and co-insurance. This provision does not apply if there were any reported allegations of fraud, abuse, or malpractice against the healthcare professional.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
enacting clause stricken (on 04/05/2022)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.nysenate.gov/legislation/bills/2021/A2342 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=A02342&term=2021&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#A02342 |
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