Requires an insurance company which owns a health care provider to pay the health care provider it owns no more than the lowest amount paid to any other insured health care provider for a comparable service; requires an insurance company, which is owned by a health care provider, to pay the health care provider which owns the health care provider no more than it pays the lowest amount paid to any other insured company for a comparable service.
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:
Section 1. Section 3224-a of the insurance law is amended by adding a
new subsection (m) to read as follows:
(M)(1) ANY INSURANCE COMPANY WHICH OWNS A HEALTH CARE PROVIDER, MUST
PAY THE HEALTH CARE PROVIDER IT OWNS NO MORE THAN THE LOWEST AMOUNT PAID
TO ANY OTHER INSURED HEALTH CARE PROVIDER FOR A COMPARABLE SERVICE.
(2) ANY INSURANCE COMPANY, WHICH IS OWNED BY A HEALTH CARE PROVIDER,
MAY NOT PAY THE HEALTH CARE PROVIDER WHICH OWNS THE INSURANCE COMPANY
MORE THAN IT PAYS THE LOWEST AMOUNT PAID TO ANY OTHER INSURED HEALTH
CARE PROVIDER FOR A COMPARABLE SERVICE.
§ 2. This act shall take effect on the sixtieth day after it shall
have become a law.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD13704-03-5
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