Prohibits insurers from including certain requirements in insurance contracts.
This bill amends the insurance law and public health law to prohibit insurers and health maintenance organizations from including specific requirements in insurance contracts. These requirements include mandating 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, prohibiting insurers from using benefit designs to encourage members to seek services from higher-value health care providers, containing a most-favored-nation.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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