Creates the New York health benefit and cost commission to review and report on utilization rates, public and patient health effects, and impact on premiums and access to health care and health coverage of all existing and proposed mandated health benefits.
Impact
The creation of the Health Benefit and Cost Commission under A09367 is expected to lead to a systematic review of how mandated health benefits influence not only the economy of healthcare in New York but also the overall health of the population. By examining these elements, the commission will provide data-driven recommendations that could influence future legislation on mandated health benefits, thus potentially altering the landscape of health insurance policies in the state. It will also be charged with conducting public hearings and soliciting input from experts and the community.
Summary
A09367, also known as the New York Health Benefit and Cost Commission Bill, aims to establish a commission tasked with reviewing and reporting on mandated health benefits in the state. The proposed commission will consist of thirteen members appointed by various legislative leaders, ensuring a balanced representation from both political parties and areas of expertise. This initiative focuses on analyzing the effects of existing mandated health benefits, evaluating their utilization rates, impacts on public health outcomes, and implications for health insurance premiums and access to care across the state.
Contention
Some notable points of contention surrounding A09367 may revolve around the balance of interests represented on the commission and the extent of its powers. Critics might express concern that the commission's composition could lead to bias or lack transparency in assessing mandated health benefits. Additionally, there may be debates about whether existing benefits sufficiently serve public health interests or if they unintentionally cause financial strain on healthcare providers and patients alike. The repeal of section 213 of the insurance law indicates a meaningful shift in how health benefits are mandated and regulated in New York, introducing potential challenges and discussions on stakeholder engagement.
Requires the superintendent of financial services to conduct a review of mandated benefits in effect as of December 31, 2025 and their impact on insurance premiums and to conduct a cost analysis of legislation mandating new insurance benefits to examine the impact on insurance premiums prior to the adoption of such legislation.
Requires the superintendent of financial services to conduct a review of mandated benefits in effect as of December 31, 2025 and their impact on insurance premiums and to conduct a cost analysis of legislation mandating new insurance benefits to examine the impact on insurance premiums prior to the adoption of such legislation.
Requires Medicaid provide health benefits coverage, and places certain requirements on insurers and State Health Benefits Program regarding existing mandate on health benefits coverage, for certain over-the-counter contraceptives.
Requires health insurance commissioner to conduct a review of health insurance benefit mandates, including an analysis of the impact on premium costs, conducted every 5 yrs and report findings and recommendations to governor, senate president and speaker.
Requires health insurance commissioner to conduct a review of health insurance benefit mandates, including an analysis of the impact on premium costs, conducted every 5 yrs and report findings and recommendations to governor, senate president and speaker.