New York S 9992: Requires API to facilitate patient and provider access to health information for enrollees and contract providers

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S09992 Summary:

BILL NOS09992 

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SAME ASNo Same As

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SPONSORMAYER

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COSPNSR

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MLTSPNSR

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Add §112, Ins L

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Requires insurance companies to establish and maintain API to facilitate patient and provider access to health information; includes patient access, provider directory and payer to payer exchange.

Go to top S09992 Actions:

BILL NOS09992 

&nbsp

04/21/2026REFERRED TO INSURANCE

Go to topS09992 Committee&nbspVotes:

Go to topS09992 Floor&nbspVotes:

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

Go to topS09992 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 9992

 IN SENATE

 April 21, 2026
 ___________

 Introduced by Sen. MAYER -- read twice and ordered printed, and when
 printed to be committed to the Committee on Insurance

 AN ACT to amend the insurance law, in relation to requiring API to
 facilitate patient and provider access to health information for
 enrollees and contract providers

 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 112 to
 2 read as follows:
 3 § 112. Information for enrollees and contracted providers. (a)
 4 Commencing January first, two thousand twenty-seven, to facilitate
 5 patient and provider access to health information, any health care
 6 insurance company authorized in this state to write health insurance
 7 shall establish and maintain the following application programming
 8 interfaces (API) for the benefit of enrollees and contracted providers,
 9 as applicable:
 10 (1) Patient access API;
 11 (2) Provider directory API; and
 12 (3) Payer-to-payer exchange API.
 13 (b) In addition to the API described in subsection (a) of this
 14 section, the department may require any health care insurance companies
 15 authorized to write health insurance to establish and maintain the
 16 following API, if and when final rules are published by the federal
 17 government:
 18 (1) Provider access API; and
 19 (2) Prior authorization support API.
 20 (c) The API described in subsection (b) of this section shall be in
 21 accordance with standards published in a final rule issued by the feder-
 22 al Centers for Medicare and Medicaid Services and published in the
 23 Federal Register, and shall align with federal effective dates, includ-
 24 ing enforcement delays and suspensions, issued by the federal Centers
 25 for Medicare and Medicaid Services.
 26 (d) For purposes of this section:

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD06912-02-6

 S. 9992 2

 1 (1) "Application Programming Interface" or "API" means a set of rules
 2 or protocols that allows different software applications to communicate
 3 with each other, exchanging data and functionality, and acts as a stand-
 4 ardized way for programs to interact and share information with one
 5 another.
 6 (2) "Patient access API" means a secure and public-facing API to make
 7 patient membership, coverages, claims, clinical and prescription drug
 8 formulary information available. This API requires authentication for
 9 any user.
 10 (3) "Provider directory API" means a secure and public facing API to
 11 make provider information available.
 12 (4) "Payer-to-Payer exchange API" means a secure and public facing API
 13 to exchange patient data when a patient moves between payers to ensure
 14 continued access to their health data and support continuity of care
 15 between payers.
 16 § 2. This act shall take effect immediately.

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