New York S 6650: Relates to value-based care for maternity coverage

Bill Text

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S06650 Summary:

BILL NOS06650A

&nbsp

SAME ASSAME AS A02371-A

&nbsp

SPONSORWEBB

&nbsp

COSPNSR

&nbsp

MLTSPNSR

&nbsp

Amd §§3216, 3221 & 4303, Ins L; amd §4406, Pub Health L; amd §162, Civ Serv L; amd §364-j, Soc Serv L

&nbsp

Requires contracts for insurance and medical assistance to provide value-based care for maternity coverage; defines value-based care as an arrangement that financially rewards certain positive outcomes and financially penalizes certain negative outcomes.

Go to top S06650 Actions:

BILL NOS06650A

&nbsp

03/19/2025REFERRED TO INSURANCE

01/07/2026REFERRED TO INSURANCE

02/20/2026AMEND (T) AND RECOMMIT TO INSURANCE

02/20/2026PRINT NUMBER 6650A

Go to topS06650 Committee&nbspVotes:

Go to topS06650 Floor&nbspVotes:

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

Go to topS06650 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 6650--A

 2025-2026 Regular Sessions

 IN SENATE

 March 19, 2025
 ___________

 Introduced by Sen. WEBB -- 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, the public health law, the civil
 service law and the social services law, in relation to value-based
 care for maternity coverage

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

 1 Section 1. Paragraph 10 of subsection (i) of section 3216 of the
 2 insurance law is amended by adding a new subparagraph (D) to read as
 3 follows:
 4 (D)(i) Coverage provided by this paragraph shall be organized and paid
 5 for through a value-based arrangement pursuant to the schedule set forth
 6 in this subparagraph. "Value-based arrangement" shall mean an arrange-
 7 ment that financially rewards certain positive outcomes and financially
 8 penalizes certain negative outcomes. For the purposes of this section,
 9 a negative outcome shall include a c-section on a low risk individual.
 10 (ii) By December thirty-first, two thousand twenty-six, each insurer
 11 shall enter into value-based arrangements with hospitals, federally
 12 qualified health centers providing maternity services, and/or birthing
 13 centers that provide at least eighty-five percent of the maternity care
 14 for enrollees of such insurer.
 15 (iii) By December thirty-first, two thousand twenty-seven, each insur-
 16 er shall enter into value-based arrangements with hospitals, federally
 17 qualified health centers providing maternity services, and/or birthing
 18 centers that provide at least ninety-five percent of the maternity care
 19 for enrollees of such insurer.
 20 § 2. Paragraph 5 of subsection (k) of section 3221 of the insurance
 21 law is amended by adding a new subparagraph (C) to read as follows:

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD05808-04-6

 S. 6650--A 2

 1 (C)(i) Coverage provided by this paragraph shall be organized and paid
 2 for through a value-based arrangement pursuant to the schedule set forth
 3 in this subparagraph. "Value-based arrangement" shall mean an arrange-
 4 ment that financially rewards certain positive outcomes and financially
 5 penalizes certain negative outcomes. For the purposes of this section,
 6 a negative outcome shall include a c-section on a low risk individual.
 7 (ii) By December thirty-first, two thousand twenty-six, each insurer
 8 shall enter into value-based arrangements with hospitals, federally
 9 qualified health centers providing maternity services, and/or birthing
 10 centers that provide at least eighty-five percent of the maternity care
 11 of enrollees of such insurer.
 12 (iii) By December thirty-first, two thousand twenty-seven, each insur-
 13 er shall enter into value-based arrangements with hospitals, federally
 14 qualified health centers providing maternity services, and/or birthing
 15 centers that provide at least ninety-five percent of the maternity care
 16 of enrollees of such insurer.
 17 § 3. Paragraph 1 of subsection (c) of section 4303 of the