Bill > S07577

This bill prohibits insurers and health maintenance organizations (HMOs) from entering into contracts with healthcare providers that include certain restrictive provisions. Specifically, the bill prevents insurance companies from being required to include all members of a provider group in their network, place all members of a provider group in the same network tier, or include all provider group members in all of their insurance products. The bill also bars contracts that prohibit insurers from using benefit designs to encourage patients to seek care from higher-value providers, and prevents most-favored-nation clauses that limit competition. Additionally, the legislation protects the ability of insurers and providers to disclose service fees and allowed amounts to patients. Any contracts containing these prohibited clauses will become null and void after January 1, 2026, though the remaining portions of such contracts will remain in effect. The bill aims to increase transparency, flexibility, and potentially lower healthcare costs by preventing anti-competitive contract provisions between insurers and healthcare providers.

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https://www.nysenate.gov/legislation/bills/2025/S7577