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NY A01657

Bill

Status

Introduced

1/10/2025

Primary Sponsor

Linda Rosenthal

Click for details

Origin

Assembly

2025-2026 General Assembly

AI Summary

  • Requires health maintenance organizations (HMOs) to offer out-of-network coverage as an optional rider to any contract and to provide at least one contract option that includes out-of-network coverage

  • Mandates that health insurers subject to Insurance Law Article 32 offer out-of-network coverage as an optional rider to any policy, with at least one policy option including such coverage

  • Extends the same out-of-network coverage requirements to health insurance corporations under Insurance Law Article 43

  • Requires all out-of-network coverage options to be available both within and outside the New York State Health Benefit Exchange

  • Takes effect January 1 following enactment and applies to contracts and policies issued, renewed, modified, or amended on or after that date

Legislative Description

Requires health insurers to offer coverage of health care provided by out-of-network providers.

Last Action

referred to insurance

1/7/2026

Committee Referrals

Insurance1/10/2025

Full Bill Text

No bill text available