New York A05106 prohibits insurers and health maintenance organizations from including certain requirements in insurance contracts.
New York A05106 amends the insurance law and public health law to prohibit insurers and health maintenance organizations from entering into contracts with health care providers that include specific requirements. These include requiring insurers to include all members of a provider group in their network, placing all members of a provider group in the same network tier, requiring insurers to include all members of a provider group in all products offered, and prohibiting insurers from using benefit designs to encourage members to seek services from higher-value health care providers.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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