NY A09312

Requires the Commissioner of Health to annually update network adequacy guidelines and quarterly publish results of network adequacy surveys of managed care organizations on the department's website, with a summary within 30 days

Mandates organizations withdrawing from Medicaid managed care or Medicare Advantage networks provide at least 90 days' notice to the department, the Department of Financial Services, and all affected patients who received services in the past year

Extends the transitional care period from 90 days to 180 days for enrollees whose health care provider leaves their health maintenance organization's network, allowing continued treatment with their current provider

Extends the transitional care period from 60 days to 180 days for new enrollees with life-threatening or degenerative conditions whose provider is not in the HMO network, or for enrollees in their second trimester of pregnancy

Addresses legislative findings that Medicaid access difficulties exist particularly in the Hudson Valley and rural regions, and that recent withdrawals by large healthcare systems like Optum have created systemic vulnerabilities requiring stronger oversight