NY LEG Health Plan Physician Profiles

Updated on: Dec 18, 2024

Latest Event


  • Dec. 2024 NY LEG Bill Approval
  • On Dec. 13, 2024, NY LEG reported bill approval via Memo .36, became Chapter 572.
  • Act takes effect on the ninetieth day after it becomes law, i.e. effective Mar. 13, 2025.

On May 16, NY LEG passed bill on reporting of physical participation.

  • NY LEG issued bill AB 7214, SB 3472, providing that health care plan participation by physicians shall be reported, for purposes of physician profiles, by health care plans.
  • Update physician profile, include provider plan network data, help ensure compliance.
  • Amends Public health law, NY LEG 45-29D-1-2995, concerning structure, definitions.
  • Bill Provisions
  • Provided that health care plan participation by physicians shall be reported by plans.
  • Requires physicians to periodically submit information for his or her physician profile.
  • Must be submitted within 6 months of his or her triennial re-registration to practice.
  • Authorize physicians to designate designee to submit his or her information for profile.
  • Legislative History
  • On Jan. 3, 2024, bill was introduced in Senate; on Apr. 3, 2024, bill passed Senate.
  • On Apr. 3, 2024, bill introduced in Assembly; on May 16, 2024, bill passed Assembly
  • Effectiveness
  • If enacted, act effective 90th day after becoming law.
  • Dec. 2024 NY LEG Bill Approval
  • On Dec. 13, 2024, NY LEG reported bill approval via Memo .36, became Chapter 572.
  • Act takes effect on the ninetieth day after it becomes law, i.e. effective Mar. 13, 2025.
Regulators
NY LEG
Entity Types
Ins
Reference
Ch. 572, Memo .36, 12/13/2024; Bill, A07214, S03472, 5/16/2024; Citation: NY LEG 45-29D-1-2995;
Functions
Compliance; Legal; Reporting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
May 16, 2024
Effective Date
Mar 13, 2025
Rule ID
212527
Linked to
N/A
Reg. Last Update
Dec 13, 2024
Report Section
US Insurance