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
        ________________________________________________________________________

                                          10219

                                    I N  S E N A T E

                                       May 6, 2026
                                       ___________

        Introduced by Sen. GOUNARDES -- read twice and ordered printed, and when
          printed to be committed to the Committee 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  ANY HEALTH CARE PROVIDER WHICH IT DOES NOT OWN AN AMOUNT THAT IS NO
     5  LESS THAN THE AMOUNT THAT IT PAYS A HEALTH CARE PROVIDER WHICH  IT  DOES
     6  OWN FOR A COMPARABLE SERVICE.
     7    (2)  ANY  INSURANCE COMPANY, WHICH IS OWNED BY A HEALTH CARE PROVIDER,
     8  MAY NOT PAY ANY HEALTH CARE PROVIDER WHICH DOES NOT OWN  SUCH  INSURANCE
     9  COMPANY  AN  AMOUNT  THAT  IS LESS THAN THE AMOUNT THAT IT PAYS A HEALTH
    10  CARE PROVIDER WHICH DOES OWN SUCH COMPANY FOR A COMPARABLE SERVICE.
    11    § 2. This act shall take effect on the sixtieth  day  after  it  shall
    12  have become a law.






         EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD13704-09-6