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NY A06305

Bill

Status

Introduced

3/3/2025

Primary Sponsor

Tony Simone

Click for details

Origin

Assembly

2025-2026 General Assembly

AI Summary

  • Creates the New York Health Insurance Consumer Protection Security Fund to protect consumers when health insurers become financially impaired or insolvent and cannot meet contractual obligations

  • Funds the guaranty fund through assessments on health insurers based on their premiums received in New York, excluding Medicaid premiums, with assessment levels set to fully pay unpaid claims of impaired insurers

  • Requires full payment to healthcare providers or indemnity payments to covered individuals within 30 days of rehabilitation proceedings being initiated for pre-existing claims, and within 30 days of receipt for claims after proceedings begin

  • Authorizes the Director of the Budget to transfer funds from the general fund if needed to meet payment obligations, with repayment required once assessments are collected

  • Prohibits health insurers from passing assessment costs on to consumers through increased premiums

Legislative Description

Creates the health insurance guaranty fund to protect covered individuals against the failure or inability of a health insurer to perform its contractual obligations due to financial impairment or insolvency.

Last Action

referred to insurance

1/7/2026

Committee Referrals

Insurance3/3/2025

Full Bill Text

No bill text available