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Who cares
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Sponsors
Senator · Senate District 59
No co-sponsors yet.
History
- Referred to insurance
- Referred to insurance
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:S5175
Title of bill
An act to amend the insurance law, in relation to ensuring insurance coverage for children in need of early intervention services
Purpose
To ensure insurance coverage for children ages 0-3 in need of early intervention services.
Summary of provisions
Section 1 amends section 3235-a to delineate conditions for preapproval of early intervention
Section 2 designates the effective date for the bill after it shall have become a law.
Existing law
None.
Justification
The Early Intervention Program offers a variety of therapeutic and support services to eligible infants and toddlers with disabilities aged 0 - 3.
Last year, of the participating families in children in EIP, about 48% of recipients had private insurance. Counties then billed third party providers $100 million for school-district mandated services. Of the $100 million billed, only $10 million was received. 10% paid on what is 100% justifiably owed. The justification for such disparity between monies owed and monies received includes nothing to help these children with the most difficult of obstacles. In fact, it does the very opposite.
The only thing accomplished when reimbursement is denied is a heavier cost burden on the shoulders of counties. From top to bottom, the Early Intervention Program is undermined, if not altogether dropped because the necessary funds cannot be allocated. This legislation bans insurance companies from denying Early Intervention claims based on most of the common reasons.
Legislative history
New Bill.
Fiscal implications
None to the state.
Effective date
This act shall take effect immediately and shall apply to any contracts entered into, altered, modified, extended or removed on or after such effective date.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.