Relates to the scheduling of certain providers through the directory.
Summary
This bill amends the insurance law to require health insurance provider directories to include not only whether a provider is accepting new patients, but also the provider’s nearest availability. The bill further allows this information to be used through a mechanism that lets enrollees, or their designees, schedule appointments directly from the directory.
In practical terms, the measure is aimed at making provider directories more useful and actionable for insured consumers seeking care. Rather than serving only as a listing tool, the directory would also function as a scheduling access point for certain providers, improving transparency around appointment availability and potentially reducing delays in obtaining care.
Impact
The bill would amend section 3217-a of the insurance law, specifically the disclosure requirements for health insurance provider directories. Insurers would need to provide information on whether a provider is accepting new patients and the provider’s nearest availability, with the option of enabling direct scheduling through the directory. The change would affect health insurers, provider networks, and enrollees who use online or electronic directories to find and book care.
Sentiment
Based on the bill text and the absence of recorded committee discussion or votes, the bill appears to be framed as a consumer-access and transparency measure with an operational focus rather than a controversial policy shift. Its stated purpose suggests generally favorable treatment for patients and enrollees who may benefit from easier appointment access and more accurate directory information. No opposing viewpoints are documented in the available materials.
Contention
No specific points of contention are reflected in the available record because there are no committee transcripts or votes provided. Potential areas of debate, if any arise later, would likely involve implementation burdens on insurers and providers, the accuracy and maintenance of real-time availability data, and whether direct scheduling through directories creates administrative or technical challenges. At present, however, no stakeholder opposition is documented.
Provides expanded enrollment through New York state of health through tax returns, and allows for enrollment through the New York state of health at any time for first-time enrollees.
Requires insurance companies to establish and maintain API to facilitate patient and provider access to health information; includes patient access, provider directory and payer to payer exchange.
Prohibits a person offering loot boxes to consumers within the state to repurchase the contents of any such loot box whether directly themselves or indirectly through a third-party provider.
Prohibits fees for any service rendered through a banking organization relating to the use of an electronic benefit transfer card issued by the state or certain departments or agencies thereof.
Relates to the dissemination of information pertaining to individuals suffering from Alzheimer's disease and other forms of dementia through the NY Connects: Choices for Long Term Care program.
Relates to the dissemination of information pertaining to individuals suffering from Alzheimer's disease and other forms of dementia through the NY Connects: Choices for Long Term Care program.