Bill > A09225

This bill establishes a legal prohibition on any person or entity simultaneously owning, operating, or controlling both a health insurance company and a health care provider in New York State. The bill defines "health insurance company" as insurers and health maintenance organizations that contract to provide health care services, and "health care provider" as a broad range of medical entities including licensed facilities, health care professionals, pharmaceutical providers, and medical equipment dispensers. The legislation considers both direct and indirect control as grounds for violation, which means any agreement, arrangement, contract, or ownership stake that allows influencing operations of either type of entity. Entities found in violation will have three years from the bill's effective date to divest their interests in either the health insurance company or health care provider. The Attorney General is empowered to bring civil actions against violators, with potential penalties of $10,000 per day of violation, plus the ability to recover legal costs and attorneys' fees. The primary intent appears to be preventing potential conflicts of interest and ensuring independence between health insurance companies and health care providers.

Justice

https://www.nysenate.gov/legislation/bills/2025/A9225