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NY A01657
Bill
Status
1/10/2025
Primary Sponsor
Linda Rosenthal
Click for details
AI Summary
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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
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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
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Extends the same out-of-network coverage requirements to health insurance corporations under Insurance Law Article 43
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Requires all out-of-network coverage options to be available both within and outside the New York State Health Benefit Exchange
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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