NY A01915

Requires health insurance plans and payors to spend at least 12.5% of their total healthcare expenditures on primary care services, including physical and mental health care provided in outpatient settings

Mandates annual reporting to the Department of Financial Services beginning April 1, 2026, disclosing the percentage of overall healthcare spending allocated to primary care

Plans spending less than 12.5% on primary care must submit improvement plans starting April 1, 2027, committing to increase primary care spending by at least 1% annually until reaching the threshold

Applies to both commercial insurers and Medicaid managed care providers, with the Department of Health and Department of Financial Services jointly publishing annual public reports on spending data

Prohibits plans from passing compliance costs to consumers through higher premiums or cost-sharing, requiring strategies that shift existing spending rather than increasing total medical expenditures