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Bill > A00951

NY A00951

NY A00951
Enacts provisions relating to collective negotiations by health care providers with certain health care plans in certain counties; applies to health benefit plans that provide benefits for medical or surgical expenses incurred as a result of a health condition, accident or sickness, including an individual, group, blanket or franchise insurance policy or insurance agreement offered by certain enumerated entities.

summary

Introduced
01/06/2021
In Committee
01/05/2022
Crossed Over
Passed
Dead
12/31/2022

Introduced Session

2021-2022 General Assembly

Bill Summary

Enacts provisions relating to collective negotiations by health care providers with certain health care plans in certain counties; applies to health benefit plans that provide benefits for medical or surgical expenses incurred as a result of a health condition, accident or sickness, including an individual, group, blanket or franchise insurance policy or insurance agreement offered by certain enumerated entities.

AI Summary

This bill enacts provisions relating to collective negotiations by healthcare providers with certain healthcare plans in certain counties. It applies to health benefit plans that provide coverage for medical or surgical expenses incurred due to a health condition, accident, or sickness, including individual, group, blanket, or franchise insurance policies or agreements offered by certain entities. The bill allows healthcare providers to collectively negotiate various contractual terms and conditions with healthcare plans, such as utilization review plans, coverage provisions, provider liability, and reimbursement procedures. It also allows providers to collectively negotiate fees and other reimbursement components if the healthcare plan has a substantial market share in the area. The bill outlines requirements for the healthcare providers' representative and the negotiation process, and provides for intervention by the Commissioner of Health in case of an impasse.

Committee Categories

Health and Social Services

Sponsors (52)

Peter Abbate (D)*,  Ed Braunstein (D)*,  Robert Carroll (D)*,  Vivian Cook (D)*,  Steven Cymbrowitz (D)*,  Joe DeStefano (R)*,  Jeffrey Dinowitz (D)*,  Patricia Fahy (D)*,  Deborah Glick (D)*,  Richard Gottfried (D)*,  Donna Lupardo (D)*,  Dave McDonough (R)*,  Michael Montesano (R)*,  Gary Pretlow (D)*,  Ed Ra (R)*,  Diana Richardson (D)*,  Thomas Abinanti (D),  Jeffrion Aubry (D),  Charles Barron (D),  Michael Benedetto (D),  Harry Bronson (D),  Kevin Cahill (D),  William Colton (D),  Michael Cusick (D),  Steven Englebright (D),  Nathalia Ferna´ndez (D),  Sandy Galef (D),  Aileen Gunther (D),  Andrew Hevesi (D),  Pamela Hunter (D),  Kimberly Jean-Pierre (D),  Charles Lavine (D),  Bill Magnarelli (D),  Danny O'Donnell (D),  Steve Otis (D),  Amy Paulin (D),  Crystal Peoples-Stokes (D),  N. Nick Perry (D),  Karines Reyes (D),  Linda Rosenthal (D),  Nily Rozic (D),  John Salka (R),  Nader Sayegh (D),  Rebecca Seawright (D),  Jo Anne Simon (D),  Michaelle Solages (D),  Phil Steck (D),  Al Stirpe (D),  Al Taylor (D),  Fred Thiele (D),  David Weprin (D),  Ken Zebrowski (D), 

Last Action

referred to health (on 01/05/2022)
(1 Companion Bills)

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