Vote: Floor vote
NY SenateMar 23, 2026Result: passed
Senate bill · S4964 (2025-26)
New York State Senate
Same as A1521, the matching bill in the Assembly.
Relates to medical malpractice excess line insurance.
Summary from NY Open Legislation. How we handle summaries
Amends the Insurance Law.
From NY Open Legislation, the NY Senate and Assembly, and official rosters. This record was last updated Nov 2, 2026. About our data
Following needs an Agora account. You will sign in first, then come back to this page.
Choose the position closest to yours. You'll sign in or create an account to save it.
To repeal the requirement that excess line brokers must obtain a decli- nation from the medical malpractice insurance pool before the broker can place primary malpractice insurance in the excess line market
Filed with the bill. Read it on nysenate.gov (opens in a new tab)
Passed one of the two chambers; it still needs the other.
Insurance · New York State Assembly
Also referred to Insurance · New York State Senate.
Showing the cosponsors who are on Agora, A to Z. The official record may list more.
Read on NY Senate (opens in a new tab)Shown in neutral colors by design; Agora is non-partisan.
The sponsor's argument
New York State continues to suffer in numerous ways from a malfunction- ing medical malpractice insurance marketplace that many describe as in crisis. There are only four insurers which assume a significant volume of medical malpractice business, insuring over 80% of the entire New York market. Three of those insurers support the fourth insurer finan- cially by bearing a portion of the losses which exceed premium. That fourth market is the residual market, Medical Malpractice Insurance Pool("MMIP"). MMIP exists to underwrite all medical malpractice risks rejected by licensed insurers. MMIP insures physicians and hospitals which cannot obtain insurance from other licensed insurers in New York willing to write medical malpractice risks. New York Law (§ 2118(e) (2) (A) (ii)) currently requires excess line brokers to obtain a declination from the MMIP before the broker can place primary malpractice insurance in the excess line market. As a practical matter, MMIP will not decline such risks except in the rarest of circumstances, which, by and large, bars the excess line market from this line of business in New York. This bill would repeal the require- ment for the excess line brokers to obtain a declination from the MMIP. Repealing the MMIP declination requirement will provide doctors, dentists and general hospitals a broader array of choices, products, terms and conditions to suit a professional's particular insurance needs. While all insurers, including MMIP, will be permitted to continue to make available their malpractice insurance products, the addition of excess line insurers will allow insureds greater choice in the selection of insurance policies which best suit their needs from a number of addi- tional, highly rated insurers. While excess line brokers will continue to be required to diligently search the licensed market before placing coverage with an excess line insurer, the insured professional will be permitted to accept an offer of coverage from an excess line insurer when the policy terms and condi- tions are superior to those offered by MMIP. This legislation will bolster the marketplace and treat the medical malpractice residual market MMIP, in a manner consistent with the New York Property Insurance Association and the Assigned Risk Plan. As a result, these changes will provide medical professionals with more secure coverage options, while also benefiting consumers who need protection and support should an unfortunate medical event occur.
This is the sponsor's own case for the bill, quoted from their memorandum. It is not Agora's description of what the bill does.
NY SenateMar 23, 2026Result: passed
Senate InsuranceFeb 3, 2026Result: passed
NY SenateMar 25, 2025Result: passed
Senate InsuranceMar 3, 2025Result: passed
Reported out of committee
REPORTED REFERRED TO RULES
NY Assembly
Sent to the executive
DELIVERED TO ASSEMBLY
NY Senate
Passed a chamber
PASSED SENATE
NY Senate
Referred to committee
REFERRED TO INSURANCE
NY Assembly
Advanced to Third Reading
ADVANCED TO THIRD READING
NY Senate
2ND Report CAL.
2ND REPORT CAL.
NY Senate
1ST Report CAL.219
1ST REPORT CAL.219
NY Senate
Died in Assembly
DIED IN ASSEMBLY
NY Assembly
Referred to committee
REFERRED TO INSURANCE
NY Assembly
Referred to committee
REFERRED TO INSURANCE
NY Senate
Sent to the executive
DELIVERED TO ASSEMBLY
NY Senate
Passed a chamber
PASSED SENATE
NY Senate
Referred to committee
REFERRED TO INSURANCE
NY Assembly
Advanced to Third Reading
ADVANCED TO THIRD READING
NY Senate
2ND Report CAL.
2ND REPORT CAL.
NY Senate
1ST Report CAL.421
1ST REPORT CAL.421
NY Senate
Referred to committee
REFERRED TO INSURANCE
NY Senate
Referred to committee
REFERRED TO INSURANCE
NY Assembly