Bill > S04526

This bill expands health care contract coverage requirements by modifying existing public health law to extend the period during which a health care provider and a health plan must continue to abide by their existing contract terms after termination or non-renewal from two months to one hundred twenty days. Under the new provisions, if a contract between a health plan and a health care provider is not renewed or is terminated by either party, both parties must maintain the existing contract's terms, including reimbursement rates, for 120 days from the effective date of termination or non-renewal. The bill also requires that enrollees be notified within fifteen days after the 120-day period begins. The commissioner of health retains the authority to waive this 120-day period if the contract is being terminated for cause. The requirement does not apply if both parties mutually agree in writing to the termination and the plan provides enrollees with at least thirty days' advance notice. This legislation aims to provide continuity of care and protect patients from sudden disruptions in their health care services when provider-plan contracts change.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S4526