The New York State Executive Budget for Fiscal Year (FY) 2026 proposes significant updates to the managed care organization (MCO) provider tax, aiming to enhance Medicaid funding through innovative financial strategies. The...more
2/12/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Insurance Industry ,
MCOs ,
Medicaid ,
New Legislation ,
New York ,
Proposed Amendments ,
Reporting Requirements ,
State and Local Government ,
State Budgets ,
State Taxes
The recently released New York State Executive Budget for Fiscal Year 2026 contains proposed revisions to a recently enacted law impacting how healthcare providers obtain patients’ consent to payment.
NY Public Health Law...more
1/29/2025
/ Compliance ,
Consent ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
New Legislation ,
New York ,
Patient Privacy Rights ,
Public Health ,
Regulatory Requirements ,
State Legislatures
On January 21, 2025, New York Governor Kathy Hochul released the FY 2026 New York State Executive Budget, which proposed to impose a “cost market impact review” (CMIR) for certain “material transactions” involving “health...more
1/23/2025
/ Competition ,
Disclosure Requirements ,
Healthcare ,
Legislative Agendas ,
Mergers ,
New Legislation ,
New York ,
Proposed Legislation ,
Public Health ,
Regulatory Agenda ,
Regulatory Authority ,
Regulatory Requirements ,
State and Local Government
On October 20, 2024, two new laws will take effect in New York that impact how healthcare providers obtain consent to payment and collect payments from patients. These laws will affect all providers, particularly those who...more
In December 2023, the National Association of Insurance Commissioners (NAIC) adopted a Model Bulletin on the Use of Artificial Intelligence (AI) Systems by Insurers. The model bulletin reminds insurance carriers that they...more
6/5/2024
/ Artificial Intelligence ,
Consumer Protection Laws ,
Cybersecurity ,
Healthcare ,
Insurance Industry ,
Machine Learning ,
NAIC ,
New Guidance ,
New Regulations ,
Risk Management ,
State and Local Government ,
Technology
The New York State fiscal year 2024 – 2025 budget was signed on April 20, 2024, instituting, among many other provisions, a new tax on health plans, including insurers and managed care organizations. This tax has been...more
5/1/2024
/ 1115 Waivers ,
California ,
Centers for Medicare & Medicaid Services (CMS) ,
Health and Welfare Plans ,
Healthcare ,
Insurance Industry ,
MCOs ,
Medicaid ,
New York ,
State and Local Government ,
State Budgets
On October 31, 2023, the New York State Department of Financial Services (DFS) released a notice withdrawing its proposed market conduct rules for pharmacy benefit managers (PBMs). The proposed rules, announced August 16,...more