Relates to Medicaid accountable care organizations

Summary

Allows for Medicaid accountable care organizations to purchase experience-rated health insurance for their members.

Summary from NY Open Legislation. How we handle summaries

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Purpose, from the sponsor's memo

Health care providers serving predominantly Medicaid populations provide a tremendous service to underserved communities, but they do so with limited margins. The cost of providing health care to their own employ- ees can become challenging. This is true even for larger groups of providers who join together as a Medicaid accountable care organization(ACO). Medicaid ACOs must be approved by the State Depart- ment of Health,and must drive quality for Medicaid beneficiaries and efficiencies for the Medicaid program. There are currently about ten Medicaid ACOs that have been issued a certificate of authority in the State. Recognizing these ACO's commitments to the State Medicaid program and the people across the State served by the Medicaid program, this bill would allow Medicaid ACOs that meet certain requirements to be recog- nized as a group and be experience-rated, rather than to make available community-rated plans to its members. This measure would recognize the challenges faced by these providers and create a mechanism to allow the limited number of Medicaid ACOs that otherwise meet the bill's require- ments to purchase insurance as an experience-rated group.

Filed with the bill. Read it on nysenate.gov (opens in a new tab)

Where it stands

Passed the legislature and is awaiting a signature.

Insurance · New York State Assembly

Also referred to Insurance · New York State Senate.

Recorded votes

• Vote: Floor vote

  NY SenateJun 2, 2026Result: passedSenate vote on A6522, the matching Assembly bill.

  Voted yes (59)Voted no (2)Voted present (0)Absent (2)

  See member positions for the vote on Jun 2, 2026 (Floor vote)

• Vote: Committee vote · Insurance

  Senate InsuranceMay 18, 2026Result: passed

  Voted yes (11)Voted no (0)Voted present (0)Absent (0)

  See member positions for the vote on May 18, 2026 (Committee vote · Insurance)

Full history

1. Jun 2, 2026

   3RD Reading CAL.1124

   3RD READING CAL.1124

   NY Senate

2. Jun 2, 2026

   Passed a chamber

   PASSED SENATE

   NY Senate

3. Jun 2, 2026

   Substituted

   SUBSTITUTED BY A6522A

   NY Senate

4. May 20, 2026

   Advanced to Third Reading

   ADVANCED TO THIRD READING

   NY Senate

5. May 19, 2026

   2ND Report CAL.

   2ND REPORT CAL.

   NY Senate