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NY A06775

Bill

Status

Introduced

3/14/2025

Primary Sponsor

Gary Pretlow

Click for details

Origin

Assembly

2025-2026 General Assembly

AI Summary

  • Allows competing physicians and dentists to collectively negotiate with health insurance carriers through authorized third-party representatives on contract terms including clinical guidelines, payment methods, dispute resolution, referral procedures, and reimbursement methodology

  • Establishes a three-member Independent Review Panel consisting of the Attorney General, Commissioner of Health, and Commissioner of Labor to oversee and approve collective negotiation contracts within 60 days of submission

  • Limits authorized third parties to representing no more than 30% of practicing physicians in a geographic service area when negotiating with health plans that have less than 5% market share

  • Prohibits physicians from engaging in boycotts, strikes, or coordinated cessation of services, and bars negotiations that would exclude non-physician providers from direct reimbursement

  • Requires authorized third parties to register with the panel, pay fees covering regulatory costs, and submit all negotiation communications for review, with approved contracts limited to five-year terms

Legislative Description

Establishes the NYS Health Care Consumer and Provider Protection and Equity Act to allow physicians and dentists to negotiate collectively with employers.

Last Action

referred to insurance

1/7/2026

Committee Referrals

Insurance3/14/2025

Full Bill Text

No bill text available