A 1421: Prevents health plans from engaging in overpayment recovery efforts that include contacting the patient to seek reimbursement for such overpayment of claims.

  
  STATE OF NEW YORK ________________________________________________________________________ 1421 2025-2026 Regular Sessions  IN ASSEMBLY January 9, 2025 ___________ Introduced by M. of A. ROSENTHAL -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to overpayment of insur- ance claims The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Paragraph 1 of subsection (b) of section 3224-b of the 2 insurance law, as amended by chapter 237 of the laws of 2009, is amended 3 to read as follows: 4 (1) Other than recovery for duplicate payments, a health plan shall 5 provide thirty days written notice to health care providers before 6 engaging in additional overpayment recovery efforts seeking recovery of 7 the overpayment of claims to such health care providers. Such notice 8 shall state the patient name, service date, payment amount, proposed 9 adjustment, and a reasonably specific explanation of the proposed 10 adjustment. A health plan shall not engage in any overpayment recovery 11 efforts that include contacting the patient to seek reimbursement for 12 such overpayment of claims. 13 § 2. This act shall take effect on the ninetieth day after it shall 14 have become a law and shall apply to policies and contracts issued, 15 renewed, modified, altered or amended on or after such effective date. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03931-01-5