New York 2025-2026 Regular Session

New York Assembly Bill A03986

Introduced
1/30/25  
Refer
1/30/25  
Report Pass
5/20/25  
Refer
5/20/25  
Report Pass
5/27/25  
Engrossed
5/27/25  
Refer
5/27/25  
Engrossed
6/11/25  
Enrolled
12/8/25  
Chaptered
12/19/25  

Caption

Authorizes an insurer to pay a claim for reimbursement made by a provider using a credit card, virtual credit card or electronic funds transfer payment method that imposes on the provider a free or similar charge to process the payment; defines "virtual credit card" as a single-use series of numbers linked to a fixed dollar amount and provided by an insurer to a provider for the purpose of paying a claim for health care services performed by the provider; makes related provisions.

Impact

The passing of A03986 would have significant implications for healthcare payment procedures in New York State. By allowing the use of virtual credit cards and electronic funds transfers, the bill aims to streamline the reimbursement process for healthcare providers, potentially reducing delays in payments. Moreover, the requirement for insurers to transparently communicate fees may help providers make informed choices about which payment method to accept, encouraging more efficient financial transactions within the healthcare system.

Summary

Bill A03986 aims to amend both the insurance law and public health law in New York, focusing on the payment methods used by insurers and certain healthcare plans when reimbursing providers. The bill specifically authorizes insurers to pay claims using credit cards, virtual credit cards, or electronic funds transfer methods, provided that certain conditions are met. These conditions include notifying providers of any associated fees, offering alternative payment methods without fees, and ensuring that the provider agrees to the payment method selected. This move is intended to modernize the reimbursement process while clarifying the distinctions concerning fees related to payment processing.

Contention

One notable point of contention surrounding this bill is the potential burden it may place on providers in terms of fee transparency and the choice of payment method. While proponents argue that the provisions will simplify payment processing and protect providers from unexpected costs, critics may express concerns regarding the complexity that may arise from providers needing to navigate different payment methods and the accompanying fees. Ensuring that providers consistently receive adequate information regarding the costs associated with their chosen payment method is essential to mitigating any adverse impacts from the bill.

Additional_notes

A03986 could also reflect ongoing trends in healthcare where technology increasingly informs payment practices. This shift towards digital methods represents a broader movement in many sectors, moving away from traditional paper checks and manual billing toward more efficient and modern payment solutions. The bill's effect on small practices, how they adapt to these new requirements, and the administrative burden it may pose is also expected to be a significant discussion point as the bill progresses.

Companion Bills

NY S02105

Same As Authorizes an insurer to pay a claim for reimbursement made by a provider using a credit card, virtual credit card or electronic funds transfer payment method that imposes on the provider a free or similar charge to process the payment; defines "virtual credit card" as a single-use series of numbers linked to a fixed dollar amount and provided by an insurer to a provider for the purpose of paying a claim for health care services performed by the provider; makes related provisions.

Previously Filed As

NY S02105

Authorizes an insurer to pay a claim for reimbursement made by a provider using a credit card, virtual credit card or electronic funds transfer payment method that imposes on the provider a free or similar charge to process the payment; defines "virtual credit card" as a single-use series of numbers linked to a fixed dollar amount and provided by an insurer to a provider for the purpose of paying a claim for health care services performed by the provider; makes related provisions.

NY S704

Relative to the use of virtual credit cards by dental insurance providers

NY H4260

Relative to the use of virtual credit cards by dental insurance providers

NY H1023

Insurance Claims Payments to Health Care Providers

NY S2461

Prohibits dental insurers from refusing to honor directions to pay from insured, modifying benefits to be paid. Requires providers to accept payment by virtual credit card as unfair claims practices.

NY H7113

Prohibits dental insurers from refusing to honor directions to pay from insured, modifying benefits to be paid. Requires providers to accept payment by virtual credit card as unfair claims practices.

NY S0905

Prohibits dental insurers from refusing to honor directions to pay from insured, modifying benefits to be paid. Requires providers to accept payment by virtual credit card as unfair claims practices.

NY H6155

Prohibits dental insurers from refusing to honor directions to pay from insured, modifying benefits to be paid. Requires providers to accept payment by virtual credit card as unfair claims practices.

NY H1015

Insurance Claims Payments to Health Care Providers

NY A09510

Relates to the use of virtual credit cards by insurers and certain health care plans and the effectiveness of provisions of law relating thereto.

Similar Bills

No similar bills found.