New York legislation · 2025-2026 General Assembly
New York A11688: Reduces inequities in access to medical procedures
Status: In committee, September 2, 2026
Provides that no insurer, health maintenance organization, or any other entity shall, by contract, written policy, or procedure, reduce the payment of a negotiated rate for evaluation and management or procedural services furnished by a participating provider that are otherwise covered services, solely because the provider also billed other health care services.
What the bill says
An act to amend the insurance law, in relation to reducing inequities in access to medical procedures.
From the introduced text, September 2, 2026:
AN ACT to amend the insurance law, in relation to reducing inequities in access to medical procedures THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Section 3217-b of the insurance law is amended by adding a new subsection (q) to read as follows: (Q) (1) NO INSURER, HEALTH MAINTENANCE ORGANIZATION, OR ANY OTHER ENTITY SUBJECT TO THIS ARTICLE SHALL, BY CONTRACT, WRITTEN POLICY, OR PROCEDURE, REDUCE THE PAYMENT OF A NEGOTIATED RATE FOR EVALUATION AND MANAGEMENT OR PROCEDURAL SERVICES FURNISHED BY A PARTICIPATING PROVIDER THAT ARE OTHERWISE COVERED SERVICES, SOLELY BECAUSE THE PROVIDER ALSO BILLED OTHER HEALTH CARE SERVICES, INCLUDING BUT NOT LIMITED TO MINOR PROCEDURES, ON THE SAME DAY AS THE EVALUATION AND MANAGEMENT OR PROCEDURAL SERVICES. (2) ANY PROVISION OF A PARTICIPATING PROVIDER AGREEMENT THAT ALLOWS FOR A REDUCTION IN REIMBURSEMENT AS PROHIBITED BY THIS SUBSECTION SHALL BE VOID AND UNENFORCEABLE. (3) WITH RESPECT TO AN INSURED ENROLLED IN A HEALTH BENEFIT PLAN UNDER WHICH THE INSURER OR UTILIZATION REVIEW ORGANIZATION ONLY PROVIDES ADMINISTRATIVE SERVICES, THE OBLIGATIONS CREATED BY THIS SUBSECTION SHALL BE LIMITED TO RECOMMENDING TO THE THIRD-PARTY PAYOR THAT COVERAGE AND PAYMENT SHOULD BE AUTHORIZED IN ACCORDANCE WITH THE PROHIBITIONS SET FORTH HEREIN. § 2. This act shall take effect immediately and shall apply to …
Sponsors
- David Weprin (D, 24) · primary sponsor
Latest actions
- : REFERRED TO INSURANCE
Subjects: Insurance Law
Common questions
- What is A11688?
- A11688 is a bill in the New York Legislature (2025-2026 General Assembly): Reduces inequities in access to medical procedures.
- What does A11688 do?
- In its own words: An act to amend the insurance law, in relation to reducing inequities in access to medical procedures.
- What is the status of A11688?
- In committee as of September 2, 2026. Latest action: REFERRED TO INSURANCE (September 2, 2026).
- Who sponsored A11688?
- David Weprin (D, 24).
- Where is the official record for A11688?
- On the New York Legislature website: https://www.nysenate.gov/legislation/bills/2025/A11688
Source: official New York record. Tracked by Delilah, AI for legislation across all 50 states and Congress.