Bill > S03735

This bill requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care when the patient has a long-term relationship (at least 90 days and 10 visits) with a medical professional who is not a recurring provider under the managed care provider's network. The bill specifies that the health care professional shall be paid the managed care provider's in-network rates, and the coverage may be subject to annual deductibles and co-insurance as deemed appropriate by the health commissioner. The bill provides that these provisions shall not apply if there were any reported allegations of fraud, abuse, or malpractice from the health care professional that the managed care provider has been made aware of.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2021/S3735