A 6522 New York Assembly · 2025 Regular Session

Relates to Medicaid accountable care organizations

Bill A 6522 allows specific Medicaid Accountable Care Organizations (ACOs) to purchase group health insurance policies for their members and employees. It permits ACOs comprised solely of private physician practices to offer experience-rated health insurance plans. The bill establishes requirements for these policies, including minimum coverage numbers and methods for premium payment. It also exempts qualifying ACOs from certain small group rating rules, provided they meet criteria such as having a minimum number of employers and a significant Medicaid patient base.
Bill status passed both 4 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2026
Assembly Passage
May 2026
Senate Passage
Jun 2026
Governor
Introduced Mar 5, 2025 Last action Jun 2, 2026
Maddy AI version diff · 1 comparison

What changed between versions

A6522 A6522A · 2 edits
MINOR
The bill was amended to specifically target 'Medicaid' accountable care organizations and restrict them to those comprised wholly of private physician practices. This change narrows the scope of the law to ensure that only these specific types of organizations can purchase experience-rated health insurance for their members.
Scope change
The bill's scope was narrowed from all accountable care organizations to only Medicaid accountable care organizations made up entirely of private physician practices.
ELIGIBILITY

Added the requirement that the accountable care organization must be a 'Medicaid' accountable care organization.

Added the requirement that the organization must be comprised 'wholly of private physician practices'.

Floor votes · Senate Jun 2, 2026 · Assembly May 4, 2026

How they voted

592
Passed · 2 other
Total votes 63
Jun 2, 2026
D Democratic41
39 Yea 2
95% Yea
R Republican22
20 Yea 2 Nay
90% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
13
Key actions
4
Committee
3
Amendments
2
Jun 2, 2026
Upper · Passed
PASSED SENATE
upper
May 4, 2026
Committee
REFERRED TO INSURANCE
upper
May 4, 2026
Lower · Passed
PASSED ASSEMBLY
lower
Jan 7, 2026
Committee
REFERRED TO INSURANCE
lower
Apr 30, 2025
Lower · Passed
PRINT NUMBER 6522A
lower
Apr 30, 2025
Lower · Passed
AMEND AND RECOMMIT TO INSURANCE
lower
Mar 5, 2025
Committee
REFERRED TO INSURANCE
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Grace Lee
Grace Lee
DDemocratic
NY
65