NY A02140

Caps reimbursement rates for routine outpatient and ambulatory services at 150% of Medicare rates, regardless of where the service is provided (hospital, physician office, or urgent care clinic)

Prohibits healthcare providers from charging facility fees for applicable services, which include office visits (CPT codes 99201-99215) and 66 ambulatory payment classifications identified by MedPAC

Exempts federally qualified health centers, public hospitals, critical access hospitals, sole community hospitals, rural emergency hospitals, and financially distressed safety net hospitals serving at least 45% Medicaid/uninsured patients

Imposes penalties of $1,000 per improperly billed claim or minimum $100,000 per contract violation for non-compliant healthcare providers, and up to $50,000 per day for health insurers maintaining non-compliant contracts

Requires the Department of Health and Department of Financial Services to collect pricing data, publish it publicly, and submit annual reports to the governor and legislature on spending trends, compliance, and estimated savings