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Senate bill · S4964 (2025-26)

Relates to medical malpractice excess line insurance

Latest action May 20, 2026

New York State Senate

Same as A1521, the matching bill in the Assembly.

Sponsor

Jamaal Bailey

State Senator, District 36 · Democratic/Working Families

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Summary

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

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Purpose, from the sponsor's memo

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)

Where it stands

Passed one of the two chambers; it still needs the other.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

Committee

Insurance · New York State Assembly

Also referred to Insurance · New York State Senate.

Cosponsors

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)
  • Democratic1

Shown in neutral colors by design; Agora is non-partisan.

The sponsor's argument

Why Jamaal Bailey says this is needed

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.

Recorded votes

  • Vote: Floor vote

    NY SenateMar 23, 2026Result: passed

    (60) (0) (0) (3)
  • Vote: Committee vote · Insurance

    Senate InsuranceFeb 3, 2026Result: passed

    (11) (0) (0) (0)
  • Vote: Floor vote

    NY SenateMar 25, 2025Result: passed

    (62) (0) (0) (1)
  • Vote: Committee vote · Insurance

    Senate InsuranceMar 3, 2025Result: passed

    (11) (0) (0) (0)

Full history

  1. May 20, 2026

    Reported out of committee

    REPORTED REFERRED TO RULES

    NY Assembly

  2. Mar 23, 2026

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  3. Mar 23, 2026

    Passed a chamber

    PASSED SENATE

    NY Senate

  4. Mar 23, 2026

    Referred to committee

    REFERRED TO INSURANCE

    NY Assembly

  5. Feb 5, 2026

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

Show full history (13 earlier events)
  1. Feb 4, 2026

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

  2. Feb 3, 2026

    1ST Report CAL.219

    1ST REPORT CAL.219

    NY Senate

  3. Jan 7, 2026

    Died in Assembly

    DIED IN ASSEMBLY

    NY Assembly

  4. Jan 7, 2026

    Referred to committee

    REFERRED TO INSURANCE

    NY Assembly

  5. Jan 7, 2026

    Referred to committee

    REFERRED TO INSURANCE

    NY Senate

  6. Mar 25, 2025

    Sent to the executive

    DELIVERED TO ASSEMBLY

    NY Senate

  7. Mar 25, 2025

    Passed a chamber

    PASSED SENATE

    NY Senate

  8. Mar 25, 2025

    Referred to committee

    REFERRED TO INSURANCE

    NY Assembly

  9. Mar 5, 2025

    Advanced to Third Reading

    ADVANCED TO THIRD READING

    NY Senate

  10. Mar 4, 2025

    2ND Report CAL.

    2ND REPORT CAL.

    NY Senate

  11. Mar 3, 2025

    1ST Report CAL.421

    1ST REPORT CAL.421

    NY Senate

  12. Feb 14, 2025

    Referred to committee

    REFERRED TO INSURANCE

    NY Senate

  13. Jan 10, 2025

    Referred to committee

    REFERRED TO INSURANCE

    NY Assembly