S 9622 New York Senate · 2023 Regular Session

Relates to Medicaid accountable care organizations

This bill allows Medicaid accountable care organizations to purchase experience-rated health insurance for their members, offering them a way to set premiums based on their own claims history rather than standard group rates. The law permits these organizations, which consist of at least 150 member employers where Medicaid makes up at least 60% of their revenue, to form associations or trusts to buy this coverage if they have insured over 500 people. It also clarifies how insurers must classify and rate premiums for these specific groups, ensuring they are treated differently from smaller groups or those with fewer Medicaid patients. Additionally, the bill requires that any savings from lower premiums or policy dividends be passed directly to the insured individuals.
Bill status in committee 1 of 4 stages cleared
Introduction
May 2024
Committee Review
Floor Vote
Governor
Introduced May 16, 2024 Last action May 16, 2024
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May 16, 2024
Senate · Referred to committee
REFERRED TO INSURANCE
1 primary · 1 co-sponsor

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