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Assembly Bill A9099A

2025-2026 Legislative Session

Relates to health care payment amounts

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Current Bill Status - In Assembly Committee

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Bill Amendments

co-Sponsors

2025-A9099 - Details

See Senate Version of this Bill:
S10219
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §3224-a, Ins L

2025-A9099 - Summary

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.

2025-A9099 - Bill Text download pdf 

                             
                     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

co-Sponsors

2025-A9099A (ACTIVE) - Details

See Senate Version of this Bill:
S10219
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §3224-a, Ins L

2025-A9099A (ACTIVE) - Summary

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.

2025-A9099A (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  9099--A
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                            September 12, 2025
                                ___________
 
 Introduced  by M. of A. JACOBSON, McDONALD, REYES, SANTABARBARA, EACHUS,
   HEVESI -- 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 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  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.
   (2)  ANY  INSURANCE COMPANY, WHICH IS OWNED BY A HEALTH CARE PROVIDER,
 MAY NOT PAY 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.
   § 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.
                                                            LBD13704-08-6

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