New York 2025-2026 Regular Session

New York Assembly Bill A04972

Introduced
2/10/25  
Refer
2/10/25  

Caption

Establishes an office of the state medical indemnity fund ombudsperson and a medical indemnity fund advisory panel to advocate for, assist and represent the interests of qualified plaintiffs.

Summary

This bill amends the Public Health Law to create an Office of the State Medical Indemnity Fund Ombudsperson and a Medical Indemnity Fund Advisory Panel. The ombudsperson would be a full-time official with expertise in neurological injuries and advocacy, tasked with receiving and resolving complaints from or on behalf of qualified plaintiffs, helping them navigate the fund, informing them of their rights and available services, monitoring how the fund is implemented, and referring issues to appropriate agencies when needed. The office would also be required to submit annual reports to state leaders describing its activities, complaint trends, resolution processes, and recommendations for legal or regulatory changes. The bill also establishes an advisory panel made up of the commissioner, qualified plaintiffs or their representatives, physicians, medical suppliers, advocates, and other interested parties. The panel would meet at least twice a year and provide input on the operation of the fund, with the commissioner required to consider that input when drafting or revising regulations, guidelines, or policies. The measure is aimed at improving oversight, communication, and responsiveness within the medical indemnity fund system for injured plaintiffs and their families.

Impact

The bill would add two new sections to the Public Health Law, creating a formal oversight and advocacy structure within the state medical indemnity fund. It would not change eligibility for the fund itself, but it would impose new administrative duties on the Department of Health, including appointing an ombudsperson, maintaining confidentiality of plaintiff records, convening an advisory panel, and producing annual reports. The measure would likely affect qualified plaintiffs, their representatives, fund administrators, medical suppliers, physicians, and state agencies involved in administering services and benefits under the fund.

Sentiment

Based on the bill text and caption, the measure appears generally supportive of injured plaintiffs and their families, with a consumer-protection and access-to-services orientation. The bill is framed as an advocacy and oversight reform intended to help qualified plaintiffs navigate the fund and resolve complaints more effectively. No committee debate or recorded votes were provided, so there is no evidence of formal opposition or support beyond the bill’s stated purpose.

Contention

The main potential points of contention are administrative burden, the scope of the ombudsperson’s authority, and how much influence the advisory panel should have over fund policy. Stakeholders such as fund administrators, medical suppliers, or other parties involved in fund management may be concerned about added oversight, reporting requirements, or confidentiality issues, while plaintiff advocates are likely to favor stronger independent assistance and complaint resolution. The bill also requires that deputies have no conflict of interest and not be employed by the fund administrator or related parties, suggesting sensitivity to independence and perceived bias.

Companion Bills

NY S03364

Same As Establishes an office of the state medical indemnity fund ombudsperson and a medical indemnity fund advisory panel to advocate for, assist and represent the interests of qualified plaintiffs.

Previously Filed As

NY S03364

Establishes an office of the state medical indemnity fund ombudsperson and a medical indemnity fund advisory panel to advocate for, assist and represent the interests of qualified plaintiffs.

NY S07684

Relates to the New York State medical indemnity fund account payments; extends provisions relating to payments from the New York state medical indemnity fund; provides for the repeal of certain provisions upon the expiration thereof.

NY SB2083

PROP TX-INDEMNITY FUND

NY HB1067

Diseased Livestock Indemnity Fund

NY HF856

Common interest community ombudsperson created, data classified, Office of the Common Interest Ombudsperson funding provided, and money appropriated.

NY S01324

Relates to definitions of certain terms relating to the NYS medical indemnity fund; repeals certain provisions relating to claims for qualifying health care costs under the NYS medical indemnity fund; and relates to the effectiveness of certain provisions relating to the NYS medical indemnity fund.

NY A02426

Relates to the New York State medical indemnity fund account payments; extends provisions relating to payments from the New York state medical indemnity fund; provides for the repeal of certain provisions upon the expiration thereof.

NY HB3404

Agriculture; Oklahoma Controlled Burn Indemnity Fund; Oklahoma Prescribed Burn Indemnity Fund; damages; requirements; effective date.

NY A01936

Requires any regulation that mandates prior authorization to establish a mechanism for submission of requests for prior authorization by health care providers directly to the medical indemnity fund; requires the medical indemnity fund administrator to notify qualified plaintiffs which costs are qualifying health care costs to be paid from the fund and which are not within a reasonably prompt period of time.

NY S05710

Requires any regulation that mandates prior authorization to establish a mechanism for submission of requests for prior authorization by health care providers directly to the medical indemnity fund; requires the medical indemnity fund administrator to notify qualified plaintiffs which costs are qualifying health care costs to be paid from the fund and which are not within a reasonably prompt period of time.

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