New York S 1634: Provides for primary care investment

Bill Text

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S01634 Summary:

BILL NOS01634A

&nbsp

SAME ASSAME AS A01915-B

&nbsp

SPONSORRIVERA

&nbsp

COSPNSRADDABBO, BROUK, CLEARE, COMRIE, COONEY, FERNANDEZ, GONZALEZ, GOUNARDES, HINCHEY, HOYLMAN-SIGAL,
 JACKSON, MAY, MYRIE, RAMOS, RYAN C, SALAZAR, SEPULVEDA, SERRANO, SUTTON, WEBB

&nbsp

MLTSPNSR

&nbsp

Add §3217-k, Ins L; add §368-g, Soc Serv L

&nbsp

Requires health care plans and payors to have a minimum of twelve and one-half percent of their total expenditures on physical and mental health annually be for primary care services.

Go to top S01634 Actions:

BILL NOS01634A

&nbsp

01/13/2025REFERRED TO HEALTH

02/04/20251ST REPORT CAL.274

02/05/20252ND REPORT CAL.

02/10/2025ADVANCED TO THIRD READING 

06/11/2025PASSED SENATE

06/11/2025DELIVERED TO ASSEMBLY

06/11/2025referred to insurance

01/07/2026died in assembly

01/07/2026returned to senate

01/07/2026REFERRED TO HEALTH

04/27/2026AMEND AND RECOMMIT TO HEALTH

04/27/2026PRINT NUMBER 1634A

05/05/20261ST REPORT CAL.968

05/06/20262ND REPORT CAL.

05/07/2026ADVANCED TO THIRD READING 

05/28/2026PASSED SENATE

05/28/2026DELIVERED TO ASSEMBLY

05/28/2026referred to ways and means

Go to topS01634 Committee&nbspVotes:

Go to topS01634 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS01634 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 1634--A

 2025-2026 Regular Sessions

 IN SENATE

 January 13, 2025
 ___________

 Introduced by Sens. RIVERA, ADDABBO, BROUK, CLEARE, COMRIE, COONEY,
 FERNANDEZ, GONZALEZ, GOUNARDES, HINCHEY, JACKSON, MAY, MYRIE, RAMOS,
 C. RYAN, SALAZAR, SEPULVEDA, SERRANO, SUTTON, WEBB -- read twice and
 ordered printed, and when printed to be committed to the Committee on
 Health -- recommitted to the Committee on Health in accordance with
 Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered
 reprinted as amended and recommitted to said committee

 AN ACT to amend the insurance law and the social services law, in
 relation to primary care investment

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. The insurance law is amended by adding a new section 3217-k
 2 to read as follows:
 3 § 3217-k. Primary care spending. (a) Definitions. As used in this
 4 section, the following terms shall have the following meanings:
 5 (1) "Overall healthcare spending" means the total cost of care for the
 6 patient population of a payor or provider entity for a given calendar
 7 year, where cost is calculated for such year as the sum of (A) all
 8 claims-based spending paid to providers by public and private payors and
 9 (B) all non-claim payments for such year, including, but not limited to,
 10 incentive payments and care coordination payments.
 11 (2) "Plan or payor" means every insurance entity providing managed
 12 care products, individual comprehensive accident and health insurance or
 13 group or blanket comprehensive accident and health insurance, as defined
 14 in this chapter, corporation organized under article forty-three of this
 15 chapter providing comprehensive health insurance, entity licensed under
 16 article forty-four of this chapter providing comprehensive health insur-
 17 ance, every other plan over which the department has jurisdiction, and
 18 every third-party payor providing health coverage.
 19 (3) "Primary care" means integrated, accessible healthcare, provided
 20 by clinicians accountable for addressing most of a patient's healthcare

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD04789-15-6

 S. 1634--A 2

 1 needs including (A) developing a sustained partnership with patients;
 2 (B) practicing in the context of family and community; and (C) coordi-
 3 nating patients' care, which for the purposes of this section shall only
 4 include care coordination efforts undertaken by the clinicians rendering
 5 healthcare services to a patient and shall not include separate care
 6 coordination activities undertaken by a payor.
 7 (4) "Primary care services" means services provided in an outpatient,
 8 non-emergency setting by or under the supervision of a physician, nurse
 9 practitioner, physician assistant, or midwife, who is practicing