| Assembly Actions - Lowercase Senate Actions - UPPERCASE |
|
|---|---|
| Dec 09, 2022 | approval memo.36 signed chap.665 |
| Dec 02, 2022 | delivered to governor |
| Jun 03, 2022 | returned to senate passed assembly |
| Jun 01, 2022 | ordered to third reading rules cal.544 substituted for a8169a |
| Jun 01, 2022 | substituted by s7199a rules report cal.544 reported |
| May 31, 2022 | reported referred to rules |
| May 27, 2022 | reference changed to ways and means |
| May 26, 2022 | print number 8169a |
| May 26, 2022 | amend (t) and recommit to insurance |
| Jan 05, 2022 | referred to insurance |
| Jul 07, 2021 | referred to insurance |
assembly Bill A8169A
Signed By Governor2021-2022 Legislative Session
Sponsored By
CRUZ
Archive: Last Bill Status Via S7199 - Signed by Governor
- Introduced
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed by Governor
Your Voice
Actions
Votes
Bill Amendments
Co-Sponsors
Khaleel Anderson
Michaelle C. Solages
Chantel Jackson
Jo Anne Simon
A8169 - Details
- See Senate Version of this Bill:
- S7199
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §3217-b, Ins L
A8169 - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
8169
2021-2022 Regular Sessions
I N A S S E M B L Y
July 7, 2021
___________
Introduced by M. of A. CRUZ -- read once and referred to the Committee
on Insurance
AN ACT to amend the insurance law and the public health law, in relation
to certain prohibited contract provisions
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 3217-b of the insurance law is amended by adding a
new subsection (m) to read as follows:
(M) (1) NO INSURER THAT OFFERS A MANAGED CARE PRODUCT OR A COMPREHEN-
SIVE POLICY THAT UTILIZES A NETWORK OF PROVIDERS SHALL ENTER INTO A
CONTRACT, WRITTEN POLICY, WRITTEN PROCEDURE OR AGREEMENT (HEREINAFTER
AND SOLELY FOR PURPOSES OF THIS SUBSECTION COLLECTIVELY REFERRED TO AS A
"CONTRACT") WITH ANY HEALTH CARE PROVIDER THAT:
(A) REQUIRES THE INSURER TO INCLUDE WITHIN THE SCOPE OF THE CONTRACT
ALL COVERED GROUPS OF THE INSURER, INCLUDING GROUPS OR BENEFIT FUNDS
THAT CONTRACT WITH THE INSURER, OR AN AFFILIATE OF THE INSURER, FOR
ACCESS TO THE INSURER'S NETWORK OF PARTICIPATING PROVIDERS;
(B) REQUIRES AN INSURER TO INCLUDE ALL MEMBERS OF A PROVIDER SYSTEM,
INCLUDING MEDICAL PRACTICE GROUPS AND AFFILIATED FACILITIES, IN ITS
NETWORK OF PARTICIPATING PROVIDERS;
(C) REQUIRES AN INSURER, OR AN AFFILIATE OF AN INSURER, TO INCLUDE ALL
MEMBERS OF A PROVIDER SYSTEM, INCLUDING MEDICAL PRACTICE GROUPS AND
AFFILIATED FACILITIES, IN ALL PRODUCTS OFFERED BY THE INSURER OR AN
AFFILIATE OF THE INSURER;
(D) RESTRICTS THE ABILITY OF AN INSURER TO CREATE OR MODIFY A TIERED
NETWORK BENEFIT PLAN OR REQUIRES AN INSURER TO PLACE ALL MEMBERS OF A
PROVIDER SYSTEM, INCLUDING MEDICAL PRACTICE GROUPS AND AFFILIATED FACIL-
ITIES, IN THE SAME NETWORK TIER OR OTHERWISE LIMITS THE RIGHT OF AN
INSURER TO PLACE A PROVIDER IN A PARTICULAR TIER;
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11774-01-1
Co-Sponsors
Khaleel Anderson
Michaelle C. Solages
Chantel Jackson
Jo Anne Simon
A8169A (ACTIVE) - Details
- See Senate Version of this Bill:
- S7199
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §3217-b, Ins L
A8169A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
8169--A
2021-2022 Regular Sessions
I N A S S E M B L Y
July 7, 2021
___________
Introduced by M. of A. CRUZ, ANDERSON, SOLAGES, JACKSON, SIMON, MAMDANI,
FERNANDEZ, HEVESI, DINOWITZ, SEAWRIGHT, SAYEGH, J. D. RIVERA,
WILLIAMS, JOYNER, TAPIA, BURGOS, BARNWELL, COLTON, GLICK, GONZALEZ-RO-
JAS, FORREST, RAMOS, AUBRY, J. RIVERA, CARROLL, BURDICK,
BICHOTTE HERMELYN, EPSTEIN, GALLAGHER, JACOBSON, SEPTIMO,
DE LOS SANTOS, KIM, JEAN-PIERRE, DICKENS, NIOU -- read once and
referred to the Committee on Insurance -- recommitted to the Committee
on Insurance in accordance with Assembly Rule 3, sec. 2 -- committee
discharged, bill amended, ordered reprinted as amended and recommitted
to said committee
AN ACT to amend the insurance law, in relation to certain prohibited
contract provisions
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 3217-b of the insurance law is amended by adding a
new subsection (o) to read as follows:
(O) (1) NO CONTRACT OR AGREEMENT BETWEEN A HEALTH PLAN SUBJECT TO THIS
ARTICLE AND A HEALTH CARE PROVIDER, OTHER THAN A RESIDENTIAL HEALTH
CARE FACILITY AS DEFINED BY SECTION TWO THOUSAND EIGHT HUNDRED ONE OF
THE PUBLIC HEALTH LAW, SHALL INCLUDE A PROVISION THAT:
(A) CONTAINS A MOST-FAVORED-NATION PROVISION; OR
(B) RESTRICTS THE ABILITY OF A HEALTH PLAN, AN ENTITY THAT CONTRACTS
WITH A HEALTH PLAN FOR A PROVIDER NETWORK, OR A HEALTH CARE PROVIDER TO
DISCLOSE (I) ACTUAL CLAIMS COSTS OR (II) PRICE OR QUALITY INFORMATION
REQUIRED TO BE DISCLOSED UNDER FEDERAL LAW, INCLUDING THE ALLOWED
AMOUNT, NEGOTIATED RATES OR DISCOUNTS, OR ANY OTHER CLAIM-RELATED FINAN-
CIAL OBLIGATIONS, INCLUDING, BUT NOT LIMITED TO, PATIENT COST-SHARING
COVERED BY THE PROVIDER CONTRACT TO ANY INSURED, GROUP OR OTHER ENTITY
RECEIVING HEALTH CARE SERVICES PURSUANT TO THE CONTRACT, OR TO ANY
PUBLIC COMPILATION OF REIMBURSEMENT DATA SUCH AS THE NEW YORK ALL PAYER
DATABASE REQUIRED BY LAW OR REGULATION, PROVIDED THAT NO DISCLOSURE
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11774-09-2