Relates to health care payment amounts

Plain English Breakdown

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

Relates to health care payment amounts

Relates to health care payment amounts Requires an insurance company which owns a health care provider to pay any health care provider which it does not own an amount that is no less than the amount that it pays a health care provider which it does own for a comparable service; prohibits an insurance company which is owned by a health care provider from paying any health care provider which does not own such insurance company an amount that is less than the amount that it pays a health care provider which does own such company for a comparable service.

What This Bill Does

• Relates to health care payment amounts Requires an insurance company which owns a health care provider to pay any health care provider which it does not own an amount that is no less than the amount that it pays a health care provider which it does own for a comparable service; prohibits an insurance company which is owned by a health care provider from paying any health care provider which does not own such insurance company an amount that is less than the amount that it pays a health care provider which does own such company for a comparable service.

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

Relates to health care payment amounts
Requires an insurance company which owns a health care provider to pay any health care provider which it does not own an amount that is no less than the amount that it pays a health care provider which it does own for a comparable service; prohibits an insurance company which is owned by a health care provider from paying any health care provider which does not own such insurance company an amount that is less than the amount that it pays a health care provider which does own such company for a comparable service.

Current Bill Text

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

                                          9099

                               2025-2026 Regular Sessions

                                  I N  A S S E M B L Y

                                   September 12, 2025
                                       ___________

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

        AN  ACT  to  amend the insurance law, in relation to health care payment
          amounts

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

     1    Section  1. Section 3224-a of the insurance law is amended by adding a
     2  new subsection (m) to read as follows:
     3    (M)(1) ANY INSURANCE COMPANY WHICH OWNS A HEALTH CARE  PROVIDER,  MUST
     4  PAY THE HEALTH CARE PROVIDER IT OWNS NO MORE THAN THE LOWEST AMOUNT PAID
     5  TO ANY OTHER INSURED HEALTH CARE PROVIDER FOR A COMPARABLE SERVICE.
     6    (2)  ANY  INSURANCE COMPANY, WHICH IS OWNED BY A HEALTH CARE PROVIDER,
     7  MAY NOT PAY THE HEALTH CARE PROVIDER WHICH OWNS  THE  INSURANCE  COMPANY
     8  MORE  THAN  IT  PAYS  THE LOWEST AMOUNT PAID TO ANY OTHER INSURED HEALTH
     9  CARE PROVIDER FOR A COMPARABLE SERVICE.
    10    § 2.  This act shall take effect on the sixtieth day  after  it  shall
    11  have become a law.





         EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD13704-03-5