NY A08592

Establishes primary care spending reporting requirement beginning April 1, 2025, requiring all health plans, payors, and Medicaid managed care providers to annually report the percentage of overall healthcare spending dedicated to primary care services.

Defines "primary care services" as outpatient, non-emergency services provided by physicians, nurse practitioners, physician assistants, or midwives in family practice, general pediatrics, internal medicine, obstetrics, or gynecology, including integrated behavioral health and mental health services.

Requires plans and payors reporting less than 12.5% primary care spending to submit improvement plans beginning April 1, 2026, increasing primary care spending by at least 1% annually until reaching the 12.5% threshold.

Directs the Commissioner of Health and Department of Financial Services to publish annual reports on primary care spending data, with the first report providing aggregate data and subsequent reports identifying individual payor and plan spending.

Prohibits plans and payors from requiring healthcare providers to supply additional data beyond existing records to meet reporting requirements and protects specific reimbursement rates from public disclosure.