Requires fiscal notes to be included on bills imposing mandated benefits under insurance plans and under the Medicaid fee-for-service program

Summary

Any bill that creates or expands a mandated insurance benefit must include an actuarial fiscal note estimating the annual premium impact on affected policyholders and the broader insurance market. Bills that add, expand, or require coverage under the Medicaid fee‑for‑service program must also contain a fiscal note estimating the annual cost to the state and local social services districts. If a required fiscal note is missing, the bill is invalid.

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