Bill > A09099

This bill proposes to modify the New York State insurance law by establishing new payment restrictions for health care providers and insurance companies with ownership relationships. Specifically, the bill requires that if an insurance company owns a health care provider, it must pay that provider no more than the lowest amount paid to any other insured health care provider for a comparable service. Conversely, if a health care provider owns an insurance company, the insurance company cannot pay the owning health care provider more than the lowest amount paid to any other insured health care provider for a comparable service. The purpose of this legislation appears to be preventing potential financial advantages or conflicts of interest that could arise from vertical integration in the healthcare and insurance industries. The bill will take effect 60 days after becoming law, which is intended to give affected parties time to adjust to the new payment guidelines. By creating these payment restrictions, the bill aims to promote fair compensation and reduce potential price manipulation in healthcare services.

Business and Industry

https://www.nysenate.gov/legislation/bills/2025/A9099