Requires an insurance company which owns a health care provider to pay any health care provider which it does not own an amount that is no less than the amount that it pays a health care provider which it does own for a comparable service; prohibits an insurance company which is owned by a health care provider from paying any health care provider which does not own such insurance company an amount that is less than the amount that it pays a health care provider which does own such company for a comparable service.
STATE OF NEW YORK
________________________________________________________________________
9099--A
2025-2026 Regular Sessions
IN ASSEMBLY
September 12, 2025
___________
Introduced by M. of A. JACOBSON, McDONALD, REYES, SANTABARBARA, EACHUS,
HEVESI -- read once and referred to the Committee on Insurance --
recommitted to the Committee on Insurance in accordance with Assembly
Rule 3, sec. 2 -- committee discharged, bill amended, ordered
reprinted as amended and recommitted to said committee
AN ACT to amend the insurance law, in relation to health care payment
amounts
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Section 3224-a of the insurance law is amended by adding a
2 new subsection (m) to read as follows:
3 (m)(1) Any insurance company which owns a health care provider must
4 pay any health care provider which it does not own an amount that is no
5 less than the amount that it pays a health care provider which it does
6 own for a comparable service.
7 (2) Any insurance company, which is owned by a health care provider,
8 may not pay any health care provider which does not own such insurance
9 company an amount that is less than the amount that it pays a health
10 care provider which does own such company for a comparable service.
11 § 2. This act shall take effect on the sixtieth day after it shall
12 have become a law.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD13704-08-6