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NY A05106
Bill
Status
2/12/2025
Primary Sponsor
Pamela Hunter
Click for details
AI Summary
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Prohibits insurers and HMOs from entering contracts that require including all members of a provider group (medical practices, facilities) in their network, placing them in the same tier, or including them in all products offered
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Bans "most-favored-nation" provisions in provider contracts, though insurers and providers may still negotiate rates that are as favorable or more favorable than rates with other entities
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Prohibits contract terms that prevent insurers from using benefit designs to encourage members to seek services from higher-value providers
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Bans contract clauses that limit disclosure of service fees or allowed amounts to insured individuals or their health care providers
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Takes effect January 1, 2026, with any contract clauses violating these provisions becoming null and void while remaining contract terms stay in effect
Legislative Description
Prohibits an insurer or health maintenance organization from including certain requirements in insurance contracts.
Last Action
referred to insurance
1/7/2026