Bill
Bill > A02371
NY A02371
NY A02371Requires contracts for insurance and medical assistance to provide value-based care for maternity coverage; defines value-based care as an arrangement that financially rewards certain positive outcomes and financially penalizes certain negative outcomes.
summary
Introduced
01/16/2025
01/16/2025
In Committee
01/07/2026
01/07/2026
Crossed Over
Passed
Dead
Introduced Session
2025-2026 General Assembly
Bill Summary
AN ACT to amend the insurance law, the public health law, the civil service law and the social services law, in relation to value-based care for maternity coverage
AI Summary
This bill mandates that insurance contracts and medical assistance programs for maternity coverage must adopt "value-based care" arrangements, which means providers are financially rewarded for positive patient outcomes and penalized for negative ones, such as performing a Cesarean section on a low-risk individual. Insurers and managed care providers, including health maintenance organizations (HMOs) and those under the civil service law, are required to enter into these value-based arrangements with hospitals, federally qualified health centers offering maternity services, and birthing centers. Specifically, by December 31, 2026, these arrangements must cover at least 85% of maternity care for enrollees, increasing to 95% by December 31, 2027. This legislation aims to improve the quality and efficiency of maternity care by aligning financial incentives with desired health results.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
print number 2371a (on 02/03/2026)
Official Document
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