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Bill > S07361


NY S07361

NY S07361
Provides that where an employer or insurance carrier elects to controvert the right to compensation and such claimant holds a valid insurance policy, the employer or insurance carrier shall provide medical treatment to the injured claimant and payment to health care providers without regard to such controversy.


summary

Introduced
04/10/2025
In Committee
04/10/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the workers' compensation law, in relation to medical treatment for workers' compensation claimants when the workers' compensation claim has been controverted

AI Summary

This bill amends the workers' compensation law to address situations where an employer or insurance carrier contests a workers' compensation claim but the injured worker has existing health insurance. Under the new provisions, even if a claim is being disputed, the employer or insurance carrier must provide medical treatment to the injured worker and pay healthcare providers as usual. If the Workers' Compensation Board ultimately determines the claim is not compensable, the employer or insurance carrier can seek reimbursement from the worker's health insurance provider for the medical expenses incurred. Importantly, the bill prohibits the employer, carrier, or health insurance provider from seeking any reimbursement directly from the injured employee, their spouse, dependents, or estate. The bill also requires the New York Compensation Insurance Rating Board to annually collect data on such reimbursement claims from insurance carriers. This legislation aims to ensure that injured workers receive necessary medical treatment without being caught in the middle of a dispute between their employer and insurance providers.

Committee Categories

Labor and Employment

Sponsors (1)

Last Action

REFERRED TO LABOR (on 04/10/2025)

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