 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         6496--A
 
                               2017-2018 Regular Sessions
 
                    IN SENATE
 
                                      May 25, 2017
                                       ___________
 
        Introduced  by  Sen.  O'MARA -- read twice and ordered printed, and when
          printed to be committed to the Committee  on  Insurance  --  committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to said committee
 
        AN  ACT to amend the insurance law, in relation to discounting uninsured
          dental services

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Section  4224 of the insurance law is amended by adding a
     2  new subsection (g) to read as follows:
     3    (g) Notwithstanding any other provision of this section, no insurer or
     4  managed care entity authorized  to  do  business  in  this  state  shall
     5  include  any  provision  in  any  of  its contracts with a dentist which
     6  requires that a dentist provide services to a covered person  at  a  fee
     7  set  by,  or at a fee subject to the approval of, the insurer or managed
     8  care entity unless the dental services are a covered service  under  the
     9  person's   dental  plan.  For  purposes  of  this  subsection,  "covered
    10  services" shall mean dental care services for which a  reimbursement  is
    11  available  under  an enrollee's plan contract, or for which a reimburse-
    12  ment would be available but for the application of  contractual  limita-
    13  tions  such  as  deductibles,  copayments, coinsurance, waiting periods,
    14  annual or lifetime maximums, frequency limitations, alternative  benefit
    15  payments, or any other limitation.
    16    § 2. This act shall take effect on January 1, 2018, and shall apply to
    17  all  insurance  and  managed care contracts issued or entered into on or
    18  after January 1, 2018.
 
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11925-02-7
Relates to discounting uninsured dental services

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