Bill > A04498

This bill amends the New York state insurance law to expand the responsibilities of the New York State Health Care Quality and Cost Containment Commission. The commission, which consists of 13 members appointed by the governor, will now be required to conduct a comprehensive review of all state-mandated health insurance benefits at least once every three years. The review process involves investigating current health plan practices, analyzing the potential premium impacts of modifying or repealing mandated benefits, examining evidence-based medical literature, and assessing the potential costs to the state. The commission must hold at least two public hearings and submit a report to the legislature by February 1, 2026, with recommendations for repealing or modifying existing mandated benefits. The bill also requires that the recommendations aim to not increase average insurance premiums and mandates a specific legislative process for introducing and voting on the commission's proposed changes. Additionally, the bill requires the commission to include members with specific expertise, such as an actuary, a health benefits expert with at least 15 years of experience, and a physician, ensuring a diverse and knowledgeable group evaluates health insurance mandates.

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https://www.nysenate.gov/legislation/bills/2025/A4498