New York A 9254: Enacts the Northeast Regional Health Insurance Compact Act

Bill Text

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A09254 Summary:

BILL NOA09254 

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SAME ASNo Same As

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SPONSORSlater

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COSPNSRRa, Jensen, Gandolfo, Manktelow, Brabenec, Hawley, Gray, Simpson, Brook-Krasny, McDonough,
 DeStefano, Bendett, Blankenbush, Chludzinski

&nbsp

MLTSPNSR

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Enacts the Northeast Regional Health Insurance Compact Act directing the governor to invite the governors of Connecticut, Massachusetts, New Hampshire, Rhode Island, Vermont, Maine, New Jersey, and Pennsylvania to participate in a Northeast Regional Health Insurance Compact Summit along with their respective health and insurance regulators, to discuss the feasibility of creating a Regional Health Insurance Collaborative that allows residents of participating states to purchase qualified health insurance plans offered in any member state.

Go to top A09254 Actions:

BILL NOA09254 

&nbsp

11/21/2025referred to insurance

01/07/2026referred to insurance

05/20/2026held for consideration in insurance

Go to topA09254 Committee&nbspVotes:

Committee:INSURANCE Chair:Weprin 
DATE:05/20/2026AYE/NAY:16/6 Action: Held for Consideration WeprinAyeBlankenbushNay

CookExcusedHawleyExcused

LavineAyeGandolfoNay

SteckAyeJensenNay

DilanAyeBlumencranzNay

HunterAyeBendettNay

BronsonAyeChludzinskiNay

ForrestAye

AndersonAye

CruzAye

BoresAye

LunsfordAye

BergerAye

EichensteinAye

KayAye

YegerAye

WiederAye

LeeExcused

Go to topA09254 Floor&nbspVotes:

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

Go to topA09254 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 9254

 2025-2026 Regular Sessions

 IN ASSEMBLY

 November 21, 2025
 ___________

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

 AN ACT relating to enacting the "northeast regional health insurance
 compact act"

 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 "northeast
 2 regional health insurance compact act".
 3 § 2. (a) The Legislature finds that:
 4 (i) The rising cost of health insurance coverage has created chal-
 5 lenges for New York residents and businesses.
 6 (ii) A regional, market-based approach could increase competition,
 7 choice, and affordability by allowing residents to select qualified
 8 health insurance products offered in any participating northeast state.
 9 (iii) Collaborative action is necessary to seek federal waivers and
 10 create a health insurance market that reflects the principles of feder-
 11 alism and state innovation.
 12 (iv) It is in the best interest of New Yorkers to pursue multi-state
 13 solutions rather than unilateral, government-run programs that may
 14 impose significant fiscal and policy impacts.
 15 (b) The purpose of this act is to authorize and direct the governor of
 16 New York to convene a summit of northeast states to explore and develop
 17 a regional health insurance collaborative for offering multi-state
 18 health insurance options.
 19 § 3. (a) Within ninety days of the effective date of this act, the
 20 governor shall invite the governors of Connecticut, Massachusetts, New
 21 Hampshire, Rhode Island, Vermont, Maine, New Jersey, and Pennsylvania to
 22 participate in a northeast regional health insurance compact summit
 23 along with their respective health and insurance regulators.
 24 (b) The purpose of the summit shall be to:

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD14038-01-5

 A. 9254 2

 1 (i) Discuss the feasibility of creating a regional health insurance
 2 collaborative that allows residents of participating states to purchase
 3 qualified health insurance plans offered in any member state;
 4 (ii) Explore mechanisms for seeking federal waivers under section 1332
 5 of the Affordable Care Act or other applicable federal law to facilitate
 6 interstate health insurance offerings;
 7 (iii) Identify regulatory, legal, and administrative barriers to
 8 multi-state health insurance markets;
 9 (iv) Develop a framework for state cooperation, including governance
 10 structures, data sharing, consumer protections, and dispute resolution;
 11 and
 12 (v) Assess potential impacts on insurance markets, c