Relates to reimbursement for anesthesia services
Summary
Relates to reimbursement for anesthesia services; provides that an insurer may use a time related reimbursement methodology for anesthesia services if such methodology is based upon criteria established by an independent organization.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 13, 2025
Last action Jan 7, 2026
Maddy AI version diff · 1 comparison
What changed between versions
A5375
→
A5375A
·
5 edits
MODERATE
The bill was amended to clarify and expand its provisions regarding anesthesia reimbursement. The original version focused on prohibiting arbitrary time caps for insurers and medical assistance programs, while the amended version adds specific exceptions allowing the use of time-based reimbursement methodologies if they align with Medicare criteria. The bill also adds a new section to the insurance law addressing corporate insurers and changes the effective date from immediate to January 1, 2026.
Scope change
The bill now explicitly addresses corporate insurers under the insurance law (new section 4331) in addition to general insurers, and adds specific provisions for managed care providers under the social services law.
REQUIREMENT
Added exceptions allowing insurers and managed care providers to use time-based reimbursement methodologies if based on Medicare criteria, rather than an absolute prohibition.
Added new section 4331 to the insurance law specifically addressing corporate insurers providing hospital, medical, or surgical expense insurance.
Added requirements for established processes for sharing electronic medical records when using time-based reimbursement methodologies.
TIMELINE
Changed effective date from immediate to January 1, 2026.
ENFORCEMENT
Modified reporting requirements to include findings from audits and recommendations for improving compliance.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
5
Key actions
2
Committee
3
Amendments
2
Jan 7, 2026
Committee
REFERRED TO INSURANCE
lower
May 20, 2025
Committee
REPORTED REFERRED TO RULES
lower
May 15, 2025
Lower · Passed
PRINT NUMBER 5375A
lower
May 15, 2025
Lower · Passed
AMEND (T) AND RECOMMIT TO INSURANCE
lower
Feb 13, 2025
Committee
REFERRED TO INSURANCE
lower
1 primary · 1 co-sponsor
Sponsors
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