Loading chat...
NY A07239
Bill
Status
3/21/2025
Primary Sponsor
Monique Chandler-Waterman
Click for details
AI Summary
-
Requires Medicaid managed care providers to approve "single patient agreements" allowing patients to continue seeing out-of-network health care professionals with whom they have established long-term relationships
-
Defines "long term relationship" as a treatment relationship of 90 days or longer during which the provider delivered medical assistance to the patient at least 10 times
-
Out-of-network providers under these agreements must be paid at the managed care plan's in-network rates
-
Excludes coverage if the health care professional has any reported allegations of fraud, abuse, or malpractice that the managed care provider has been notified of
-
Takes effect 90 days after becoming law, with coverage available at time of application for medical assistance or on coverage anniversary dates, subject to deductibles and co-insurance as determined by the Commissioner of Health
Legislative Description
Requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care when the patient has a long term relationship with a medical professional who is not a recurring provider under the managed care provider's network.
Last Action
referred to health
1/7/2026