New York S05527 amends insurance law to prohibit certain clauses in contracts between insurers and health care providers.
New York S05527 amends the insurance law to prohibit contracts or agreements between insurers and health care providers from including clauses that entitle the insurer to reimbursement at the lowest price or rate. It also prohibits insurers from restricting referrals based solely on a provider's status with a managed care product. Additionally, it prohibits insurers from allowing the substitution of a pharmaceutical drug or agent by anyone other than the prescribing health care professional. These provisions aim to protect the integrity of patient care and ensure fair reimbursement practices.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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