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NY A02371
Bill
Status
1/16/2025
Primary Sponsor
Amy Paulin
Click for details
AI Summary
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Requires all health insurers, health maintenance organizations, and managed care providers to organize and pay for maternity coverage through "value-based arrangements" that financially reward positive outcomes and penalize negative outcomes
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Defines a cesarean section performed on a low-risk individual as a "negative outcome" subject to financial penalties under these arrangements
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By December 31, 2025, insurers must enter value-based arrangements with hospitals, federally qualified health centers, and birthing centers covering at least 85% of their enrollees' maternity care
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By December 31, 2026, the coverage threshold increases to 95% of enrollees' maternity care under value-based arrangements
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Applies to individual and group insurance policies, HMOs, state employee health plans under civil service law, and Medicaid managed care providers
Legislative Description
Requires contracts for insurance and medical assistance to provide value-based care for maternity coverage; defines value-based care as an arrangement that financially rewards certain positive outcomes and financially penalizes certain negative outcomes.
Last Action
print number 2371a
2/3/2026