A 4498 —

Compared against the New York Consolidated Laws as published AI-generated reading aid — verify against the official bill.

This bill amends 1 section(s) of the New York Consolidated Laws: Section 213 of the insurance law.

• Section 213 of the insurance law

  may, by a majority vote of its members, and medical . → , and that the commission include at least one actuary, one expert on health benefits, having no less than fifteen years of direct experience with health benefits, and one physician. All members of the commission shall be seated no later than ninety days after the effective date of the chapter of the laws of two thousand twenty-five which italics amended this section and all vacancies shall be filled as soon as prac- ticable shall and credible evidence based medicine published in peer reviewed medical literature generally recognized by the relevant medical community the effectiveness of the proposed mandated benefit and ; and (D) investigate the potential cost to the state of the proposed mandated benefits in light of the implementation of the federal afforda- ble care act. (e)(1) Beginning no later than nine months after the commission is seated, and reoccurring no less often than once every three years, the commission shall analyze the impact on health insurance costs and quali- ty of all state laws which mandate that health benefits be offered or made available in individual and group health insurance policies, contracts and comprehensive health service plans, including but not limited to laws that affect the delivery of health benefits or services or the reimbursement of health care providers. (2) In evaluating each mandated benefit, the commission shall: (A) investigate the current practices of health plans with regard to the mandated benefit, and, to the extent possible, self-funded health benefit plans including but not limited to avoided costs through early detection and treatment of conditions, or more cost-effective delivery of medical services; (B) investigate the potential premium impact of repealing and/or modi- fying the mandated benefits on all segments of the insurance market; (C) analyze the most current and credible evidence based medicine literature regarding the mandated benefit published in peer reviewed medical literature generally recognized by the relevant medical communi- ty to determine the effectiveness of the mandated benefit and its impact on health care quality; and (D) investigate the potential cost to the state of the proposed mandated benefits in light of the implementation of the federal afforda- ble care act. (3) In evaluating mandated benefits, the commission shall hold no less than two public hearings, and shall strive to obtain independent and verifiable information from diverse sources within the health care industry, medical community and among health care consumers with regard to each mandated benefit. (4)(A) On or before the first day of February, two thousand twenty- six, the commission shall submit to the legislature and disseminate to the public recommendations for the repeal and/or modification of state laws which mandate benefits, along with a single piece of legislation necessary to implement such recommendations. These recommendations shall not be expected to increase the average premium in the state. Upon receipt of such recommendations, the implementing legislation therefor shall be introduced in both houses of the legislature without any amend- ments within five days. (B) The legislation introduced pursuant to subparagraph (A) of this paragraph shall be voted upon, without amendment, by both such houses of the legislature within ninety days, but not sooner than thirty days, after the commission submits its recommendations to the legislature. If approved, the legislature shall forward such legislation to the governor within five days.

  amended

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