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A 3947

Requires API to facilitate patient and provider access to health information for enrollees and contract providers

2025 Regular Session Introduced by Amy Paulin

Requires an API to let enrollees and contract providers access health information from plans, boosting interoperability and safer, faster care coordination.

REFERRED TO INSURANCE
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Bill Summary · A 3947

New York Assembly Bill A-3947 — Summary

Overview

  • Bill number: A 3947
  • Title: Requires API to facilitate patient and provider access to health information for enrollees and contract providers
  • Status: Refered to Insurance
  • Introduced: January 30, 2025
  • Sponsor: Amy Paulin (primary)
  • Legislative actions: 2025-01-30 — Referred to Insurance (listed twice in the provided record)

Purpose and Intent

  • The bill aims to establish or require an application programming interface (API) to enable patients (enrollees) and contract providers to access health information. The goal is to improve access to health data and support interoperability between health plans/insurers and healthcare providers.

Key Provisions (as indicated by title)

  • Require an API: The core provision is the mandate for an API to facilitate access to health information. This would apply to enrollees and contract providers seeking data from plans or issuers.
  • Scope of access: Access is designed for both enrollees and contract providers, suggesting a broader access framework beyond just patients or clinicians.
  • Interoperability objective: Implicitly supports more seamless data exchange and potentially faster retrieval of health information by authorized users.

Note: The specific technical standards, data categories (e.g., claims, medications, lab results), security requirements, privacy safeguards, vendor obligations, and enforcement mechanisms are not detailed in the information provided. The exact provisions would be in the full bill text.

Affected Parties

  • Enrollees (patients) who are members of health plans/insurers
  • Contract providers (e.g., providers or networks that contract with insurers)
  • Health plans/issuers subject to the bill
  • Healthcare providers who access or rely on health information for care coordination

Procedural and Timeline Aspects

  • Status indicates the bill has been referred to the Insurance committee for consideration.
  • No specified effective date or implementation timeline is available in the provided summary.
  • Additional actions (hearings, amendments, or passage) would occur if the committee advances the bill and the full legislature acts.

Potential Impacts and Considerations

  • Positive impacts: Improved patient empowerment through direct access to health information; enhanced care coordination for providers; potential reduction in administrative friction.
  • Considerations: The bill would likely raise considerations around data privacy, security, and access controls; implementation details (standards, timelines) will influence ease of adoption and interoperability outcomes.

If you’d like, I can tailor this summary to reflect any available committee hearing notes or the full text once provided.

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

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