Reduces inequities in access to medical procedures
This bill ensures that insurers cannot reduce payment amounts for specific covered services provided by a provider just because the provider billed for additional services. It aims to improve access to necessary medical care.
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A11688 — Reduces inequities in access to medical procedures
Last action — In Assembly Committee
No card. One bill, free forever — alerts when it moves.
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1Introduced
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2In Committee
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3Passed Assembly
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4Passed Senate
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5To Executive
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6Enacted
This bill has been introduced in the Assembly. Introduced September 02, 2026. It must pass committee before a floor vote.
Next likely step: a committee referral and hearing.
Prognosis
Where this bill stands today.
Odds of enactment
LowHow often bills like it became law.
Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
In plain language
The bill prevents insurers from lowering payment rates for certain medical services based on other billed services.
This bill ensures that insurers cannot reduce payment amounts for specific covered services provided by a provider just because the provider billed for additional services. It aims to improve access to necessary medical care.
What this means for you
- Healthcare: This means healthcare providers will receive consistent payments for covered services, supporting better patient care.
Summary
Provides that no insurer, health maintenance organization, or any other entity shall, by contract, written policy, or procedure, reduce the payment of a negotiated rate for evaluation and management or procedural services furnished by a participating provider that are otherwise covered services, solely because the provider also billed other health care services.
Bill Text
- Full text View text Current
AI-generated reading aid from the bill's amendatory text — verify against the official bill.
This bill amends 1 section(s) of the New York Consolidated Laws: Section 3217-b of the insurance law.
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Section 3217-b of the insurance law
(q) (1) No insurer, health maintenance organization, or any other entity subject to this article shall, by contract, written policy, or procedure, reduce the payment of a negotiated rate for evaluation and management or procedural services furnished by a participating provider that are otherwise covered services, solely because the provider also billed other health care services, including but not limited to minor procedures, on the same day as the evaluation and management or proce- dural services. (2) Any provision of a participating provider agreement that allows for a reduction in reimbursement as prohibited by this subsection shall be void and unenforceable. (3) With respect to an insured enrolled in a health benefit plan under which the insurer or utilization review organization only provides administrative services, the obligations created by this subsection shall be limited to recommending to the third-party payor that coverage and payment should be authorized in accordance with the prohibitions set forth herein. italics
added
Action History
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REFERRED TO INSURANCE
Sponsors
- David Weprin · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 218 not signed on
Sponsors (1)
- David Weprin
Co-sponsors (0)
None.
Not signed on (218)
218 members have not signed on to this bill.
Show all 218 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- What does A11688 do?
- Provides that no insurer, health maintenance organization, or any other entity shall, by contract, written policy, or procedure, reduce the payment of a negotiated rate for evaluation and management or procedural services furnished by a participating provider that are otherwise covered services, solely because the provider also billed other health care services.
- Who sponsors A11688?
- A11688 is sponsored by David Weprin.
- What is the current status of A11688?
- This bill has been introduced in the Assembly. Introduced September 02, 2026. It must pass committee before a floor vote.
- Where can I track A11688?
- Track A11688 free on One Click Politics — get push/email alerts when it moves.
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Last checked for changes about 2 months ago · updated continuously
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