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Bill > A06650


NY A06650

NY A06650
Allows dental provider networks, certain health and hospital service corporations, and health care plans to enter into a third-party network contract to provide access to care services and discounted rates of a provider under a provider network contract.


summary

Introduced
03/06/2025
In Committee
03/06/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the insurance law and the public health law, in relation to third-party network contracts

AI Summary

This bill introduces comprehensive regulations for third-party network contracts in dental care and services, focusing on protecting dental providers' rights and ensuring transparency. The legislation allows dental insurers, health service corporations, and health care plans to enter into third-party network contracts that provide access to providers' services and discounted rates, but with several key protections. These include requiring provider consent before a third party can access their services, mandating that insurers maintain updated websites listing all third parties with network access, and prohibiting insurers from canceling a provider's contract if they refuse third-party access. The bill also requires detailed notifications to providers about new third-party contracts, demands that third parties clearly identify their contractual discounts on payment documents, and provides specific definitions for terms like "material modification" and "third party." Importantly, the bill applies to dental providers licensed in New York and aims to give providers more control and transparency in how their network contracts are used by different entities, with the goal of preventing unexpected or unauthorized sharing of provider networks.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

referred to insurance (on 03/06/2025)

bill text


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