Bill > S05345

This bill modifies the New York insurance law to introduce new regulations regarding medical benefits and durable medical equipment (DME) in motor vehicle insurance coverage. Specifically, the bill defines a "health service provider" as any medical provider or DME supplier that submits bills for various medical services, including hospital care, surgical procedures, prescription drugs, prosthetic equipment, therapy services, and other professional health services. The bill restricts the assignment of insurance claims for medical expenses to DME providers, mandating that such providers must first be approved by the National Supplier Clearinghouse as an authorized Medicare supplier. Additionally, the bill requires that any invoice for durable medical equipment must include the specific make and model number of the equipment, which can include items like medical/surgical supplies, orthopedic footwear, and orthotic and prosthetic appliances. These changes aim to provide more oversight and transparency in medical equipment billing under motor vehicle insurance policies, potentially reducing fraudulent or unnecessary claims by ensuring that only authorized and properly documented suppliers can receive payment.

Business and Industry

https://www.nysenate.gov/legislation/bills/2025/S5345