Relates to medical malpractice excess line insurance

This bill amends New York insurance law to clarify requirements for medical malpractice insurance. It directly affects hospitals, physicians, and dentists seeking coverage from insurers not authorized in New York. The bill requires brokers to first obtain a written refusal from the state's medical malpractice insurance plan before placing such coverage with an unauthorized insurer, unless the insured was already informed of the plan's availability. If coverage is placed with an unauthorized insurer, brokers must provide written notice to the insured about key risks, including lack of state insolvency fund protection and reduced regulatory oversight.