New York A 4498: Relates to the New York state health care quality and cost containment commission

Bill Text

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A04498 Summary:

BILL NOA04498 

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SAME ASSAME AS S00828

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SPONSORJensen

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COSPNSR

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MLTSPNSR

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Amd §213, Ins L

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Provides that the New York state health care quality and cost containment commission shall: evaluate each mandated benefit; investigate current practices of health plans with regard to the mandated benefit; investigate the potential premium impact of repealing and/or modifying the mandated benefits on all segments of the insurance market; hold at least two public hearings; submit a report to the legislature; makes related provisions.

Go to top A04498 Actions:

BILL NOA04498 

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02/04/2025referred to insurance

01/07/2026referred to insurance

Go to topA04498 Committee&nbspVotes:

Go to topA04498 Floor&nbspVotes:

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

Go to topA04498 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 4498

 2025-2026 Regular Sessions

 IN ASSEMBLY

 February 4, 2025
 ___________

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

 AN ACT to amend the insurance law, in relation to the New York state
 health care quality and cost containment commission

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

 1 Section 1. Section 213 of the insurance law, as added by section 1 of
 2 part L of chapter 57 of the laws of 2007, is amended to read as follows:
 3 § 213. New York state health care quality and cost containment commis-
 4 sion. (a) There is hereby established within the department a commis-
 5 sion, to be known as the "New York state health care quality and cost
 6 containment commission". The commission shall consist of thirteen
 7 members appointed by the governor, one of whom shall be the superinten-
 8 dent, one of whom shall be the commissioner of health, and six of whom
 9 shall be appointed on the recommendation of the legislative leaders, two
 10 on the recommendation of the temporary president of the senate, two on
 11 the recommendation of the speaker of the assembly, one on the recommen-
 12 dation of the minority leader of the senate, and one on the recommenda-
 13 tion of the minority leader of the assembly. All members shall serve at
 14 the pleasure of the governor, and vacancies shall be appointed in the
 15 same manner as original appointments. Members of the commission shall
 16 serve without compensation, but shall be reimbursed for reasonable trav-
 17 el expenses. In making appointments to the commission, the governor
 18 shall ensure that the interests of health care consumers, small busi-
 19 nesses, the medical community and health plans are represented on the
 20 commission, and that the commission include at least one actuary, one
 21 expert on health benefits, having no less than fifteen years of direct
 22 experience with health benefits, and one physician. All members of the
 23 commission shall be seated no later than ninety days after the effective
 24 date of the chapter of the laws of two thousand twenty-five which

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD02869-01-5

 A. 4498 2

 1 amended this section and all vacancies shall be filled as soon as prac-
 2 ticable.
 3 (b)(1) The purpose of the commission shall be to analyze the impact on
 4 health insurance costs and quality of proposed legislation which would
 5 mandate that health benefits be offered or made available in individual
 6 and group health insurance policies, contracts and comprehensive health
 7 service plans, including legislation that affects the delivery of health
 8 benefits or services or the reimbursement of health care providers.
 9 (2) The governor, the chair of the senate insurance committee and the
 10 chair of the assembly insurance committee may request in writing that
 11 the commission evaluate a proposed mandated benefit. Upon receiving such
 12 a request, the commission [may, by a majority vote of its members,]
 13 shall undertake an evaluation of such proposed mandated benefit.
 14 (3) In evaluating a proposed mandated benefit, the commission shall:
 15 (A) investigate the current practices of health plans with regard to
 16 the proposed mandated be