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NY A04498
Bill
Status
2/4/2025
Primary Sponsor
Josh Jensen
Click for details
AI Summary
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Requires the NY Health Care Quality and Cost Containment Commission to include at least one actuary, one health benefits expert with 15+ years experience, and one physician, with all members seated within 90 days of the law's effective date
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Changes commission evaluations of proposed mandated health benefits from discretionary ("may") to mandatory ("shall") when requested by the governor or insurance committee chairs
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Mandates the commission analyze all existing state health benefit mandates within 9 months of being seated, and at least every 3 years thereafter, including premium impacts and potential costs under the Affordable Care Act
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Requires at least two public hearings when evaluating mandated benefits, with independent information gathered from healthcare industry, medical community, and consumers
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Commission must submit recommendations for repealing or modifying mandated benefits to the legislature by February 1, 2026, along with implementing legislation that must be voted on without amendment within 30-90 days of submission
Legislative Description
Provides that the New York state health care quality and cost containment commission shall: evaluate each mandated benefit; investigate current practices of health plans with regard to the mandated benefit; investigate the potential premium impact of repealing and/or modifying the mandated benefits on all segments of the insurance market; hold at least two public hearings; submit a report to the legislature; makes related provisions.
Last Action
referred to insurance
1/7/2026