Senate Bill S1330

Signed By Governor
2023-2024 Legislative Session

Relates to certain prohibited insurance contract provisions

download bill text pdf

Sponsored By

Current Bill Status - Signed by Governor


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

Do you support this bill?

Please enter your contact information

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.
Actions
Votes

2023-S1330 (ACTIVE) - Details

See Assembly Version of this Bill:
A2205
Law Section:
Insurance Law
Laws Affected:
Amd §4235, Ins L; amd §4406-c, Pub Health L; amd §2, Chap of 2022 (as proposed in S.7199-A & A.8169-A)

2023-S1330 (ACTIVE) - Summary

Provides that no insurance contract or agreement between a health insurance plan and a health care provider, other than a residential health care facility, shall include a provision that: contains a most-favored-nation provision; or restricts the ability of a corporation, an entity that contracts with a corporation for a provider network, or a health care provider to disclose certain costs, prices or information; extends the effective date from January 1, 2023 until July 1, 2023.

2023-S1330 (ACTIVE) - Sponsor Memo

2023-S1330 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1330
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                             January 11, 2023
                                ___________
 
 Introduced by Sen. GOUNARDES -- read twice and ordered printed, and when
   printed to be committed to the Committee on Rules
 
 AN ACT to amend the insurance law and the public health law, in relation
   to certain health care contracts or agreements; and to amend a chapter
   of  the  laws  of  2022 amending the insurance law relating to certain
   prohibited contract  provisions,  as  proposed  in  legislative  bills
   numbers  S.  7199-A  and  A.  8169-A, in relation to the effectiveness
   thereof
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Section  4235 of the insurance law is amended by adding a
 new subsection (o) to read as follows:
   (O) (1) NO CONTRACT OR AGREEMENT BETWEEN A HEALTH PLAN SUBJECT TO THIS
 ARTICLE AND A HEALTH CARE PROVIDER, OTHER THAN A RESIDENTIAL HEALTH CARE
 FACILITY AS DEFINED BY SECTION TWENTY-EIGHT HUNDRED ONE  OF  THE  PUBLIC
 HEALTH LAW, SHALL INCLUDE A PROVISION THAT:
   (A) CONTAINS A MOST-FAVORED-NATION PROVISION; OR
   (B)  RESTRICTS  THE ABILITY OF A CORPORATION, AN ENTITY THAT CONTRACTS
 WITH A CORPORATION FOR A PROVIDER NETWORK, OR A HEALTH CARE PROVIDER  TO
 DISCLOSE:  (I) ACTUAL CLAIMS COSTS; OR (II) PRICE OR QUALITY INFORMATION
 REQUIRED TO BE  DISCLOSED  UNDER  FEDERAL  LAW,  INCLUDING  THE  ALLOWED
 AMOUNT, NEGOTIATED RATES OR DISCOUNTS, OR ANY OTHER CLAIM-RELATED FINAN-
 CIAL  OBLIGATIONS,  INCLUDING,  BUT NOT LIMITED TO, PATIENT COST-SHARING
 COVERED BY THE PROVIDER CONTRACT TO ANY SUBSCRIBER, ENROLLEE, GROUP,  OR
 OTHER ENTITY RECEIVING HEALTH CARE SERVICES PURSUANT TO THE CONTRACT, OR
 TO ANY PUBLIC COMPILATION OF REIMBURSEMENT DATA SUCH AS THE NEW YORK ALL
 PAYER  DATABASE  REQUIRED BY LAW OR REGULATION, PROVIDED THAT NO DISCLO-
 SURE SHALL INCLUDE PROTECTED HEALTH  INFORMATION  OR  OTHER  INFORMATION
 COVERED BY STATUTORY OR OTHER PRIVILEGE.
   (2)  FOR  PURPOSES  OF  THIS  SUBSECTION, THE TERM "HEALTH PLAN" SHALL
 INCLUDE: (A) AN INSURER LICENSED PURSUANT TO THIS CHAPTER  OR  A  HEALTH
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD04298-01-3
              

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.