A 3885 New York Assembly · 2025 Regular Session

Preserves the ability of health care providers to access the independent dispute resolution process

This bill preserves healthcare providers' access to independent dispute resolution for payment disagreements with insurers. It updates fee determination rules to require resolution entities to consider factors like provider training, usual charges for similar services, regional rates, and case complexity when setting fair reimbursement. The changes directly affect doctors, hospitals, and insurers by clarifying how payment disputes over services will be resolved. The law ensures providers can challenge underpayment claims using these specific, transparent criteria. It does not create new payment standards but maintains existing dispute resolution access.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 30, 2025 Last action Jan 7, 2026