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
May 2025
Committee Review
Floor Vote
Governor
Introduced May 14, 2025
Last action Jan 7, 2026
Maddy AI version diff · 1 comparison
What changed between versions
S7918
→
S7918A
·
6 edits
MODERATE
The bill was amended to clarify its title and committee status, simplify the language around anesthesia reimbursement, and add new provisions allowing insurers and managed care providers to use time-based reimbursement methods if they follow Medicare criteria and have processes for reviewing additional medical records. The effective date was changed from immediate to January 1, 2026.
Scope change
The bill now applies to insurance corporations under Article 43 of the Insurance Law in addition to the original scope, and adds specific exceptions allowing time-based reimbursement methodologies under certain conditions.
REQUIREMENT
Added language allowing insurers to determine reimbursement based on medical necessity as determined by the insurer rather than solely by the attending anesthesiologist.
Created new exception allowing insurers and managed care providers to use time-related reimbursement methodologies if based on Medicare criteria.
Added requirement for established processes for submitting additional medical records when using time-based reimbursement.
TIMELINE
Changed effective date from immediate to January 1, 2026.
SCOPE
Added provisions for insurance corporations under Article 43 of the Insurance Law.
TECHNICAL
Changed bill title from prohibiting time caps to reimbursement for anesthesia services and updated committee status.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
4
Key actions
2
Committee
2
Amendments
2
Jan 7, 2026
Committee
REFERRED TO INSURANCE
upper
May 21, 2025
Upper · Passed
PRINT NUMBER 7918A
upper
May 21, 2025
Upper · Passed
AMEND (T) AND RECOMMIT TO INSURANCE
upper
May 14, 2025
Committee
REFERRED TO INSURANCE
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
James Skoufis
DDemocratic
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