N.Y. Insurance Law Section 335
Implementation of hospital reimbursement methodology


The superintendent shall have the power to prescribe rules and regulations governing insurer procedures and subscriber contract provisions necessary to implement a hospital reimbursement methodology established in accordance with the provisions of article twenty-eight of the public health law, and insurer procedures and subscriber contract provisions necessary to implement a hospital inpatient discharge review program established in accordance with the provisions of Public Health Law § 2803-I (General hospital inpatient discharge review program)section twenty-eight hundred three-i of the public health law, and to establish standards, criteria and procedures for evaluation of insurer performance in offering contracts for hospital and medical benefits on an open enrollment basis necessary for a determination of the hospital payment rate conversion factor in accordance with the provisions of paragraph (i) of subdivision eleven of Public Health Law § 2807-C (General hospital inpatient reimbursement for annual rate periods beginning on or after January first, nineteen hundred eighty-eight)section twenty-eight hundred seven-c of the public health law. The superintendent shall periodically report his findings and conclusions to the commissioner of health and to the chairman and vice-chairman of the council on health care financing concerning insurer performance in offering contracts for hospital and medical benefits on an open enrollment basis.

Source: Section 335 — Implementation of hospital reimbursement methodology, https://www.­nysenate.­gov/legislation/laws/ISC/335 (updated Sep. 22, 2014; accessed Oct. 26, 2024).

301
Regulations by superintendent
302
Supervisory colleges
306
Immunity from prosecution
307
Annual statements
308
Special reports
309
Examinations of insurers
310
Examinations
311
Filing of report on examination
312
Report on examination to be forwarded
314
Public retirement and pension systems
315
Professional malpractice or misconduct
316
Electronic filings
317
Compliance with reporting requirements of the financial security act
318
Reports of fire losses
319
Release of information resulting from insurers’ investigation of fires
320
Records to be made available by organizations subject to the provisions of this chapter
321
Medical information exchange centers
322
Prohibited referral payment to licensees by motor vehicle repairers
325
Records of domestic insurers
329
Certificates as evidence
330
Rating services available to other states
331
Superintendent to maintain index of tax districts
333
Assessments to defray expenses of Committee on Valuation of Securities of the National Association of Insurance Commissioners
335
Implementation of hospital reimbursement methodology
336
War risk exclusion
337
Annual consumer guide on automobile insurance
339
Colorectal cancer screening notification
340
Report of claims that may result in a monetary award
341
Notification regarding qualified health insurance plans
342
Public awareness to finance long term care
343
Mental health and substance use disorder parity report
344
Mental health and substance use disorder parity compliance programs
345
Health care claims reports

Accessed:
Oct. 26, 2024

Last modified:
Sep. 22, 2014

§ 335’s source at nysenate​.gov

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