New York S 7919: Relates to third-party network contracts

Bill Text

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S07919 Summary:

BILL NOS07919A

&nbsp

SAME ASSAME AS A06650-A

&nbsp

SPONSORSKOUFIS

&nbsp

COSPNSRHARCKHAM

&nbsp

MLTSPNSR

&nbsp

Add §§3217-k, 4242 & 4325-a, Ins L; add §4406-j, Pub Health L

&nbsp

Allows dental provider networks, certain health and hospital service corporations, and health care plans to enter into contracts with a third party to gain access to services and discounted rates of a provider under a provider network contract.

Go to top S07919 Actions:

BILL NOS07919A

&nbsp

05/14/2025REFERRED TO INSURANCE

01/07/2026REFERRED TO INSURANCE

05/29/2026AMEND AND RECOMMIT TO INSURANCE

05/29/2026PRINT NUMBER 7919A

Go to topS07919 Committee&nbspVotes:

Go to topS07919 Floor&nbspVotes:

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

Go to topS07919 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 7919--A

 2025-2026 Regular Sessions

 IN SENATE

 May 14, 2025
 ___________

 Introduced by Sens. SKOUFIS, HARCKHAM -- read twice and ordered printed,
 and when printed to be committed to the Committee on Insurance --
 recommitted to the Committee on Insurance 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 public health law, in relation
 to third-party network contracts

 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. Leased dental networks. (a) The following provisions shall
 4 apply to dental provider networks:
 5 (1) An insurer of dental care and services may grant a third party
 6 access to dental care services and discounted rates of a provider under
 7 a provider network contract if:
 8 (A) the insurer allows the provider to choose not to allow the third
 9 party to access the provider's services and discounted rates at the time
 10 the original contract is entered into or renewed and whenever there is a
 11 material modification to the third-party network contract;
 12 (B) the insurer allows the provider to contract directly with the
 13 third party instead of allowing the third party to access the provider's
 14 services and discounted rates; and
 15 (C) the third-party network contract obligates the third party to
 16 comply with all applicable terms, limitations and conditions of the
 17 provider network contract.
 18 (2) An insurer of dental care and services may not cancel or otherwise
 19 terminate a network provider contract with a provider on the grounds
 20 that the provider refuses to allow access by a third party to the
 21 provider's services and discounted rates.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD10275-03-6

 S. 7919--A 2

 1 (3) An insurer of dental care and services that contracts with a third
 2 party to provide access to the services and discounted rates of a
 3 provider under a provider network contract shall:
 4 (A) at the time a provider network contract is entered into, renewed
 5 or extended, give to the provider, in writing or electronically, a list
 6 of all third parties known by the insurer to which the insurer has
 7 extended a third-party network contract to provide access to the
 8 services and discounted rates of the provider under the provider network
 9 contract;
 10 (B) maintain a website through which the provider may obtain a list,
 11 updated at least every ninety days, of all third parties that have
 12 access to the provider's care services and discounted rates under the
 13 provider network contract;
 14 (C) require a third party to identify on each remittance or explana-
 15 tion of payment sent to a provider the source of any contractual
 16 discount in rates taken by the third party under the provider network
 17 contract;
 18 (D) notify the provider no less than thirty days prior to the effec-
 19 tive date of a new third-party network contract;
 20 (E) notify each third party described under subparagraphs (A) and (B)
 21 of this paragraph of the termination of the provider network contract no
 22 later than thirty days following the effective date