New York A 9312: Strengthens transparency regarding Medicaid network adequacy and protecting beneficiaries from disruptions in care

Bill Text

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A09312 Summary:

BILL NOA09312 

&nbsp

SAME ASNo Same As

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SPONSORSlater

&nbsp

COSPNSRJensen, Manktelow, Brabenec, Hawley, Gray, DeStefano, Simpson, Brook-Krasny, McDonough, Bendett,
 Tague, Molitor, Blankenbush

&nbsp

MLTSPNSR

&nbsp

Add §4403-h, amd §4403, Pub Health L

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Ensures Medicaid spending results in real access to medical care by increasing transparency in Medicaid managed care network adequacy reviews and safeguarding continuity of care in light of recent major provider network withdrawals.

Go to top A09312 Actions:

BILL NOA09312 

&nbsp

12/10/2025referred to health

01/07/2026referred to health

05/19/2026held for consideration in health

Go to topA09312 Committee&nbspVotes:

Committee:HEALTH Chair:Paulin 
DATE:05/19/2026AYE/NAY:15/7 Action: Held for Consideration PaulinAyeJensenNay

DinowitzAyeGandolfoNay

RosenthalAyeBlumencranzExcused

HevesiAyeGrayNay

SteckAyeSlaterNay

BraunsteinAyeChludzinskiNay

Bichotte HermelAyeNorberNay

SayeghAyeDursoNay

McDonaldAye

ReyesAbsent

Gonzalez-RojasAye

RajkumarAye

ForrestAbsent

KellesAye

LucasAye

MeeksAye

LunsfordExcused

CruzAye

Go to topA09312 Floor&nbspVotes:

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

Go to topA09312 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 9312

 2025-2026 Regular Sessions

 IN ASSEMBLY

 December 10, 2025
 ___________

 Introduced by M. of A. SLATER -- read once and referred to the Committee
 on Health

 AN ACT to amend the public health law, in relation to strengthening
 transparency regarding Medicaid network adequacy and protecting bene-
 ficiaries from disruptions in care

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

 1 Section 1. This act shall be known and may be cited as the "Medicaid
 2 network access protection act".
 3 § 2. The legislature finds that:
 4 1. Medicaid represents the state's largest expenditure, yet many bene-
 5 ficiaries face difficulty accessing primary and specialty care, partic-
 6 ularly in the Hudson Valley and other suburban and rural regions.
 7 2. Recent decisions by large healthcare systems - including Optum - to
 8 withdraw from Medicaid and Medicare Advantage networks highlight system-
 9 ic vulnerabilities and the need for stronger oversight to ensure conti-
 10 nuity of care and prevent taxpayer-funded access erosion.
 11 3. Medicaid policy has prioritized coverage expansion without a
 12 publicly available, transparent evaluation of whether reimbursement
 13 levels and program structures support real-world access to providers.
 14 4. Emergency room utilization increases significantly when patients
 15 cannot obtain routine care, driving up costs for the system and strain-
 16 ing hospital capacity.
 17 5. Expanded transparency regarding Medicaid network adequacy is neces-
 18 sary to ensure Medicaid dollars are used to provide accessible, contin-
 19 uous patient care.
 20 It is therefore the intent of this act to ensure New Yorkers have
 21 timely access to care and that Medicaid funding is used effectively to
 22 provide enrollees with access to care, regardless of where they are
 23 located in the state.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD14130-01-5

 A. 9312 2

 1 § 3. The public health law is amended by adding a new section 4403-h
 2 to read as follows:
 3 § 4403-h. Network adequacy reviews. 1. The commissioner, in consulta-
 4 tion with the superintendent of financial services, the commissioner of
 5 addiction services and supports, and the commissioner of mental health,
 6 shall:
 7 (a) Annually update network adequacy guidelines.
 8 (b) Quarterly publicly publish the results of the department's network
 9 adequacy surveys of managed care organizations on the department's
 10 website and, within thirty days of such publication, the department
 11 shall also publish a summary of such survey. Such results shall have any
 12 personally identifiable information of patients and providers removed
 13 prior to being published.
 14 2. Any organization withdrawing from a Medicaid managed care organiza-
 15 tion or Medicare advantage network shall provide a minimum of ninety
 16 days' notice to the departmen