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NY A09249
Bill
Status
2/22/2024
Primary Sponsor
Amy Paulin
Click for details
AI Summary
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Requires insurers and hospitals/birthing centers to organize maternity coverage through value-based arrangements that financially reward positive outcomes and penalize negative outcomes, including c-sections on low-risk individuals.
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Mandates that by December 31, 2025, insurers and hospitals/birthing centers cover at least 85% of maternity cases through value-based arrangements.
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Mandates that by December 31, 2026, insurers and hospitals/birthing centers cover at least 95% of maternity cases through value-based arrangements.
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Applies to coverage under multiple insurance law provisions (sections 3216, 3221, and 4303), health maintenance organizations under Public Health Law section 4406, and employee health benefit plans under Civil Service Law section 162.
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Takes effect on the forty-fifth day after enactment, with regulatory agencies authorized to implement immediately upon passage.
Legislative Description
Requires contracts for insurance to provide value-based care for maternity coverage; defines value-based care as an arrangement that financially rewards certain positive outcomes and financially penalizes certain negative outcomes.
Last Action
referred to insurance
2/22/2024