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NY A07944
Bill
Status
4/16/2025
Primary Sponsor
Nader Sayegh
Click for details
AI Summary
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Requires insurers to continue covering cancer treatment at hospitals, doctors' offices, or oncology providers when contract negotiations between the insurer and provider fail to reach an agreement
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Coverage must continue at the prior contract rate until the patient completes their entire course of treatment and is deemed clinically stable
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Defines "clinical stability" as 90 days post-treatment where the patient shows intended results without complications, or is receiving maintenance treatment to prevent recurrence
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Includes follow-up care for up to 90 days after clinical stability is achieved as part of the covered course of treatment
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Payment rates for ongoing treatment are adjusted annually by the Medicare Economic Index minus one percentage point for patients continuing under this provision
Legislative Description
Ensures continuity of care for cancer patients during insurance contract negotiations by requiring insurance coverage and treatment continue until the conclusion of care.
Last Action
referred to insurance
1/7/2026