S 2113 New York Senate · 2025 Regular Session

Relates to Medicaid accountable care organizations

Senate Bill 2113 allows Medicaid accountable care organizations (ACOs) comprised of private physician practices to purchase group health insurance for their members and employees. The bill amends insurance law to create a new category for these specific ACO policies, requiring the organizations to be established for purposes other than just obtaining insurance and to have been active for at least two years. These policies must cover a minimum of 100 individuals at the time of issue and can be funded by the ACO, members, or both. It also exempts qualifying ACO policies from certain small group rating rules, enabling them to access experience-rated health insurance.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 15, 2025 Last action Jun 2, 2026
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What changed between versions

S2113 S2113A · 3 edits
MINOR
The bill was amended to specifically target Medicaid Accountable Care Organizations (ACOs) and their private physician practice members, replacing the broader and more generic language of the original version. This change narrows the scope of the new insurance provisions to ensure they apply only to these specific healthcare entities, aligning the legislation with its intended purpose of supporting Medicaid ACOs.
Scope change
The bill's scope was narrowed from general 'accountable care organizations' to specifically 'Medicaid accountable care organizations' and 'private physician practices' within those organizations.
SCOPE

The definition of eligible organizations was changed from general 'accountable care organizations' to specifically 'Medicaid accountable care organizations' and funds for their members.

References to 'such accountable care organization' were updated to 'such Medicaid accountable care organization' throughout the text to maintain consistency with the new specific scope.

The bill title and committee reporting language were updated to reflect the amendment status (S 2113--A) and the discharge of the committee.

Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
8
Key actions
2
Committee
2
Amendments
2
Jan 7, 2026
Committee
REFERRED TO INSURANCE
upper
May 1, 2025
Upper · Passed
PRINT NUMBER 2113A
upper
May 1, 2025
Upper · Passed
AMEND AND RECOMMIT TO INSURANCE
upper
Jan 15, 2025
Committee
REFERRED TO INSURANCE
upper
1 primary · 3 co-sponsors

Sponsors