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NY A07981
Bill
Status
4/16/2025
Primary Sponsor
John McDonald
Click for details
AI Summary
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Requires contracts between insurers/health care plans and hospitals to include provisions for electronic sharing of medical records with insurers and utilization review agents for utilization review purposes
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Mandates that general hospitals participating in health care plan provider networks must timely share electronic medical records with those plans for utilization review
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Restricts use of disclosed records exclusively to individual claim care review, adjudication, and patient privacy promotion—prohibits use for auditing, detecting billing patterns, or abuse detection
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Requires health care plans to implement interoperability protocols for different billing systems and encourages HITRUST certification for data security and privacy compliance
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Takes effect 90 days after becoming law, with contract provisions applying to contracts issued, renewed, modified, altered, or amended on or after that date
Legislative Description
Requires that a contract between an insurer and a hospital shall include a provision that provides for medical records requested by the insurer or its utilization review agent to be made available electronically by the hospital; limits the use of disclosed records.
Last Action
referred to insurance
1/7/2026