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Senate Bill S10219

2025-2026 Legislative Session

Relates to health care payment amounts

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Current Bill Status - In Senate Committee Insurance Committee

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2025-S10219 (ACTIVE) - Details

See Assembly Version of this Bill:
A9099
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §3224-a, Ins L

2025-S10219 (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-S10219 (ACTIVE) - Bill Text download pdf 

                             
                     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:

   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.
                                                            LBD13704-09-6

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