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NY S01330
Bill
Status
3/3/2023
Primary Sponsor
Andrew Gounardes
Click for details
AI Summary
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Prohibits health insurance contracts between plans and health care providers from containing most-favored-nation provisions that could restrict pricing flexibility.
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Prohibits health insurance contracts from restricting disclosure of actual claims costs, negotiated rates, allowed amounts, discounts, and patient cost-sharing obligations to subscribers, enrollees, and public databases like the New York all payer database.
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Exempts residential health care facilities as defined in public health law section 2801 from these contract restrictions.
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Applies to insurers, health maintenance organizations, and third-party administrators affiliated with insurers or HMOs that administer health benefit plans.
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Delays the effective date of a 2022 law (S.7199-A and A.8169-A) from January 1, 2023 to July 1, 2023.
Legislative Description
Provides that no insurance contract or agreement between a health insurance plan and a health care provider, other than a residential health care facility, shall include a provision that: contains a most-favored-nation provision; or restricts the ability of a corporation, an entity that contracts with a corporation for a provider network, or a health care provider to disclose certain costs, prices or information; extends the effective date from January 1, 2023 until July 1, 2023.
Last Action
SIGNED CHAP.95
3/3/2023