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A 10203

Relates to providing information to patients and the public on hospital rule-based exclusions

2025 Regular Session Introduced by Didi Barrett and 36 co-sponsors

A 10203 would require hospitals to disclose clear information on rule-based exclusions to patients and the public to improve transparency around care access.

REFERRED TO HEALTH
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Bill Summary · A 10203

Bill Overview

  • Bill: A 10203
  • Session: 2025-2026
  • Jurisdiction: New York
  • Committee: Referred to Health (as of 2026-02-12)
  • Sponsors: A broad coalition of legislators including multiple co-sponsors such as Angelo Santabarbara, Jonathan Jacobson, Pamela Hunter, Grace Lee, MaryJane Shimsky, Jo Anne Simon, Brian Cunningham, Andrew Hevesi, and many others.

Purpose and Intent

  • The bill aims to increase transparency by providing information to patients and the public about hospital rule-based exclusions. In other words, it seeks to inform the public about hospitals’ exclusionary or rule-based practices that could affect patient care, access, or eligibility for services.

Key Provisions (as implied by title)

  • The bill would require hospitals to disclose information related to rule-based exclusions. While the exact statutory language is not provided here, typical provisions of this nature include:
    • Clear disclosure of policies that determine whether a patient or service is excluded from certain hospital programs, billing arrangements, or clinical pathways.
    • Public-facing materials (e.g., on hospital websites, patient information brochures, or annual reports) detailing the criteria for exclusions.
    • Procedures for patients to obtain information about exclusions, including contact points and timelines.
    • Compliance requirements for hospitals to collect, maintain, and provide data on exclusions, potentially including periodic reporting to a state department or health oversight agency.
    • Possible prohibitions or limitations on ambiguous or opaque exclusion practices to ensure patient access to information.

Note: The exact statutory language, thresholds, and enforcement mechanisms are not provided in the summary you shared. The above items reflect typical components of “information disclosure regarding rule-based exclusions” in health care settings.

Affected Parties

  • Hospitals and Health Care Providers: Primary entities that would need to implement disclosure requirements and modify communications.
  • Patients and the Public: Recipients of the information who would gain greater transparency about exclusions affecting access to care, services, or coverage.
  • State Health Agencies/Departments: Likely responsible for rulemaking, oversight, and enforcement if the bill includes reporting or compliance provisions.
  • Health Care Payers/Insurers (potentially): Depending on the scope, insurers may be impacted if exclusions intersect with coverage policies or patient eligibility.

Procedural and Timeline Considerations

  • Referral: The bill was referred to the Health Committee on 2026-02-12.
  • Next Steps: If advanced, the Health Committee may hold hearings, amend, and vote. Subsequent floor action would depend on committee approval and party negotiations.
  • Effective Date: The summary does not specify an effective date; typical enactments include an effective date (e.g., upon signing or a future date) and possibly phased implementation. The bill may include transitional language to allow hospitals time to comply.

Potential Impacts

  • Increased Transparency: Patients can better understand exclusion criteria and access relevant information, potentially reducing confusion and surprise regarding hospital services.
  • Administrative Burden on Hospitals: Hospitals may need to update policies, train staff, and develop or expand communication channels to ensure compliance and public availability of information.
  • Policy Consistency and Accountability: Public disclosure can enable oversight, consumer advocacy, and data-driven improvements in hospital exclusion practices.
  • Access to Care: By making exclusions more visible, some patients may be better guided to alternative services or programs, potentially affecting utilization patterns.

Summary

A 10203 seeks to improve transparency around hospital rule-based exclusions by mandating information disclosure to patients and the public. While specific provisions are not detailed here, the bill is designed to ensure that hospitals communicate clearly about exclusion criteria and provide accessible information, with oversight likely by state health authorities if enacted. The bill’s passage would place new informational obligations on hospitals and enhance public understanding of how exclusions may affect care access.

Compiled from official sources — confirm details with the bill’s official record.

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