Bill > S06266

This bill establishes a new quality incentive program for managed care providers in New York, requiring the commissioner of health to create a funding mechanism that rewards healthcare providers based on their performance in meeting predetermined quality objectives. The program mandates that at least one percent of the total annual premium paid to managed care providers (or $300 million, whichever is greater) will be distributed as incentive funds. The methodology for measuring and distributing these funds will prioritize providers with the highest quality scores and will be developed through consultation with managed care providers and other key stakeholders. The bill applies to both general managed care providers and managed long-term care plans, ensuring that these healthcare organizations are financially motivated to maintain and improve the quality of care they provide. By tying a significant portion of funding to performance metrics, the bill aims to create a system that encourages continuous improvement in healthcare delivery, patient outcomes, and overall service quality.

Budget and Finance, Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S6266