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Bill > S06650
NY S06650
NY S06650Requires 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
03/19/2025
03/19/2025
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 utilize "value-based care," which is defined as a payment system that financially rewards providers for achieving positive health outcomes and penalizes them for negative ones, specifically citing a Cesarean section for a low-risk individual as a negative outcome. Insurers and health maintenance organizations (HMOs), which are organizations that provide healthcare services to enrolled members, are required to enter into these value-based arrangements with hospitals, federally qualified health centers (which are community-based health centers that provide primary care services in underserved areas), and birthing centers, with a phased-in requirement to cover at least 85% of maternity care by December 31, 2026, and 95% by December 31, 2027.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
PRINT NUMBER 6650A (on 02/20/2026)
Official Document
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