Prohibits approved providers of child health insurance coverage from discriminating against health care providers not participating in the insurer's network

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Prohibits approved providers of child health insurance coverage from discriminating against health care providers not participating in the insurer's network

Prohibits approved providers of child health insurance coverage from discriminating against health care providers not participating in the insurer's network Prohibits approved organizations providing coverage under the child health insurance plan from discriminating against health care providers which do not participate in the organization's health care network.

What This Bill Does

• Prohibits approved providers of child health insurance coverage from discriminating against health care providers not participating in the insurer's network Prohibits approved organizations providing coverage under the child health insurance plan from discriminating against health care providers which do not participate in the organization's health care network.

Limits and Unknowns

• This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Official Summary Text

Prohibits approved providers of child health insurance coverage from discriminating against health care providers not participating in the insurer's network
Prohibits approved organizations providing coverage under the child health insurance plan from discriminating against health care providers which do not participate in the organization's health care network.

Current Bill Text

S T A T E   O F   N E W   Y O R K
        ________________________________________________________________________

                                          8004

                               2025-2026 Regular Sessions

                                  I N  A S S E M B L Y

                                     April 21, 2025
                                       ___________

        Introduced  by M. of A. PRETLOW -- read once and referred to the Commit-
          tee on Health

        AN ACT to amend the  public  health  law,  in  relation  to  prohibiting
          approved  organizations in the child health insurance plan from limit-
          ing the participation of certain health care providers

          THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
        BLY, DO ENACT AS FOLLOWS:

     1    Section  1.  Subdivision 7 of section 2511 of the public health law is
     2  amended by adding a new paragraph (d) to read as follows:
     3    (D) NO APPROVED ORGANIZATION SHALL PROHIBIT OR IN ANY  WAY  LIMIT  THE
     4  PROVISION  OF  COVERED HEALTH CARE SERVICES BY A HEALTH CARE PROVIDER ON
     5  THE GROUNDS THAT SUCH PROVIDER CHOOSES NOT TO PARTICIPATE  IN  A  HEALTH
     6  CARE  NETWORK  MAINTAINED BY SUCH APPROVED ORGANIZATION TO SERVE COMMER-
     7  CIAL INSUREDS, ENROLLEES OR SUBSCRIBERS.
     8    § 2. This act shall take effect immediately.






         EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10296-01-5