What's happening
This bill prohibits child health insurance organizations from limiting providers' participation based on their involvement in commercial health networks.
Why it matters
Ensures provider access. By stopping child health insurance organizations from excluding providers based on their commercial network choices, the bill helps maintain or expand the pool of doctors and specialists available to children covered by public health insurance.
Promotes provider independence. Health care providers can participate in public child health insurance programs without being pressured to also join or avoid commercial insurance networks, potentially making it easier for providers to serve diverse patient populations.
Could improve continuity of care. Families with children on public insurance may have better chances of keeping the same provider even if that provider’s commercial network affiliations change, reducing disruptions in care.
May impact competition among health plans. By preventing organizations from linking participation in public and commercial networks, the bill could reduce anti-competitive practices and foster a fairer marketplace for both providers and insurance plans.
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Who cares
Headline styles
No Discrimination on Insurance Networks
Plain English, a few words. Used as the page title.
Sponsors
1 Co-sponsor
History
- Referred to rules
- Delivered to senate
- Passed assembly
- Ordered to third reading cal.149
- Returned to assembly
- Died in senate
- Referred to health
- Delivered to senate
- Passed assembly
- Advanced to third reading cal.111
- Reported
- Referred to health
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Stop Provider Network Discrimination
In Senate Committee · Health · Sponsor Luis R. Sepúlveda
Full text
1 pageUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
3654
2019-2020 Regular Sessions
IN ASSEMBLY
January 30, 2019
Introduced by M. of A. PRETLOW -- read once and referred to the Committee on Health
AN ACT to amend the public health law, in relation to prohibiting approved organizations in the child health insurance plan from limiting the participation of certain health care providers
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Subdivision 7 of section 2511 of the public health law is amended by adding a new paragraph (d) to read as follows:
(d) No approved organization shall prohibit or in any way limit the provision of covered health care services by a health care provider on the grounds that such provider chooses not to participate in a health care network maintained by such approved organization to serve commercial insureds, enrollees or subscribers.
§ 2. This act shall take effect immediately.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD06631-01-9
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.