Bill > S01911

This bill clarifies and strengthens protections for health care professionals in their contracts with health care plans and insurers by establishing new requirements for contract terminations and non-renewals. The bill mandates that health care plans and insurers provide written explanations for proposed contract terminations or non-renewals and offer health care professionals an opportunity for a hearing or review. The hearing panel must be comprised of three health care professionals licensed in New York, with one appointed by the health care plan, one by the professional under review, and the third chosen by the first two members. The panel must include at least one clinical peer in the same discipline and specialty. The bill also prohibits terminating or not renewing a contract solely because a health care professional has advocated for a patient, filed a complaint, appealed a decision, provided information to regulatory bodies, or requested a hearing. Additionally, the bill requires health care plans and insurers to regularly inform health care professionals about performance data, allow professionals to discuss unique aspects of their patient population, and ensure that any profiling data is measured against appropriate comparative criteria. The changes aim to provide more transparency, fairness, and due process in the contractual relationships between health care professionals and the organizations that contract with them.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S1911