Bill > A06360

This bill amends New York insurance law to clarify and streamline the process of billing and reimbursement for medical services related to motor vehicle accidents. Specifically, the bill establishes that any healthcare provider treating a patient within 72 hours of a motor vehicle accident is presumed to have accepted an assignment of no-fault benefits. If a provider mistakenly bills the wrong insurance company for treatment related to a motor vehicle accident, they are now required to return those fees and seek payment from the appropriate no-fault insurer. The bill also creates a mechanism for compensation providers (such as hospitals or medical facilities) that pay for emergency treatment to seek direct reimbursement from the responsible no-fault insurer, with reimbursement limited to lawful benefit amounts according to state fee schedules. Additionally, the legislation prohibits insurers from excluding reimbursement for first-party benefits that have already been paid by a compensation provider not originally covered under the no-fault insurance article. This bill aims to reduce confusion, prevent duplicate billing, and ensure that medical providers are appropriately compensated for emergency treatments related to motor vehicle accidents.

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https://www.nysenate.gov/legislation/bills/2025/A6360