New York S 2113: Relates to Medicaid accountable care organizations

Bill Text

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S02113 Summary:

BILL NOS02113A

&nbsp

SAME ASSAME AS A06522-A

&nbsp

SPONSORCOONEY

&nbsp

COSPNSRJACKSON, SKOUFIS, STAVISKY

&nbsp

MLTSPNSR

&nbsp

Amd §§4235, 3231 & 4317, Ins L

&nbsp

Allows for Medicaid accountable care organizations to purchase experience-rated health insurance for their members.

Go to top S02113 Actions:

BILL NOS02113A

&nbsp

01/15/2025REFERRED TO INSURANCE

05/01/2025AMEND AND RECOMMIT TO INSURANCE

05/01/2025PRINT NUMBER 2113A

01/07/2026REFERRED TO INSURANCE

05/18/20261ST REPORT CAL.1124

05/19/20262ND REPORT CAL.

05/20/2026ADVANCED TO THIRD READING 

06/02/2026SUBSTITUTED BY A6522A

&nbspA06522 AMEND=A Lee

&nbsp03/05/2025referred to insurance

&nbsp04/30/2025amend and recommit to insurance

&nbsp04/30/2025print number 6522a

&nbsp01/07/2026referred to insurance

&nbsp04/29/2026reported 

&nbsp04/30/2026advanced to third reading cal.411

&nbsp05/04/2026passed assembly

&nbsp05/04/2026delivered to senate

&nbsp05/04/2026REFERRED TO INSURANCE

&nbsp06/02/2026SUBSTITUTED FOR S2113A

&nbsp06/02/20263RD READING CAL.1124

&nbsp06/02/2026PASSED SENATE

&nbsp06/02/2026RETURNED TO ASSEMBLY

Go to topS02113 Committee&nbspVotes:

Go to topS02113 Floor&nbspVotes:

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

Go to topS02113 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 2113--A

 2025-2026 Regular Sessions

 IN SENATE

 January 15, 2025
 ___________

 Introduced by Sens. COONEY, SKOUFIS -- read twice and ordered printed,
 and when printed to be committed to the Committee on Insurance --
 committee discharged, bill amended, ordered reprinted as amended and
 recommitted to said committee

 AN ACT to amend the insurance law, in relation to allowing for Medicaid
 accountable care organizations to purchase experience-rated health
 insurance for their members

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

 1 Section 1. Paragraph 1 of subsection (c) of section 4235 of the insur-
 2 ance law is amended by adding a new subparagraph (O) as follows:
 3 (O) A policy issued to a Medicaid accountable care organization
 4 comprised wholly of private physician practices issued a certificate of
 5 authorization pursuant to article twenty-nine-E of the public health
 6 law, or to a trustee or trustees of a fund established, created or main-
 7 tained for the benefit of members of one or more Medicaid accountable
 8 care organizations issued a certificate of authorization pursuant to
 9 article twenty-nine-E of the public health law, all of whose eligible
 10 members have the same profession, trade or occupation provided or
 11 related to the provision of health care, which association or associ-
 12 ations have been organized and maintained in good faith for purposes
 13 principally other than that of obtaining insurance and have been in
 14 active existence for at least two years. The policy shall insure
 15 members, or employees of members, of such Medicaid accountable care
 16 organization or organizations for the benefit of persons other than
 17 employers and the Medicaid accountable care organization or organiza-
 18 tions, or any officials, representatives, trustees or agents thereof and
 19 shall provide for the issuance of a certificate to the persons insured
 20 or such beneficiary as evidence of such insurance. The members or
 21 employees eligible for the insurance under the policy shall be all the
 22 members, or all the members and their employees, or all of any class or

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD03606-03-5

 S. 2113--A 2

 1 classes thereof determined by conditions pertaining to their employment
 2 or to the Medicaid accountable care organization membership or both. The
 3 premiums for the policy shall be paid from the Medicaid accountable care
 4 organization or members' funds, or partly from such funds and partly
 5 from funds contributed by the insured individuals, or from funds wholly
 6 contributed by the insured individuals. A policy on which all or part
 7 of the premium is to be derived from funds contributed by the insured
 8 individuals specifically for their insurance shall insure at least fifty
 9 percent of the