NY A03148

Prohibits insurers offering managed care products or network-based comprehensive policies from requiring health care providers to include all members of a provider group in their networks, place them in the same network tier, or include them in all products offered.

Bars insurers from prohibiting the use of benefit designs to encourage members to seek services from higher-value health care providers.

Prohibits most-favored-nation clauses in contracts, while preserving the right to negotiate rates and performance-based terms that are as favorable or more favorable than rates negotiated with other entities.

Prohibits insurers and providers from limiting disclosure of fees for services or allowed amounts to insureds or their health care providers.

Makes any contract containing prohibited clauses null and void after January 1, 2024, with remaining contract terms continuing in effect; applies to both insurers under insurance law and health maintenance organizations under public health law.