---
type: "Bill"
title: "Relates to establishing protections from excessive hospital emergency charges"
description: "Establishes patient protections from excessive hospital emergency charges; includes hospital charges, including hospital charges for inpatient services which follow an emergency room visit."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2019-2020"
identifier: "A 264"
citation: "New York A 264 (2019-2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["CAHILL"]
version_count: 3
action_count: 20
vote_count: 3
first_action: "2019-01-09"
last_action: "2019-10-17"
source: "openstates"
source_identifier: "ocd-bill/89387a4a-b4d9-4f8b-aa46-8cd59f19d9c5"
source_url: "http://www.nysenate.gov/legislation/bills/2019/A264"
source_hash: "43b94b39fbd02a9902c7e54e6df5a648f5ef5c2a782a5ad2328ca10341ff1017"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ny"]
---

# New York A 264 (2019-2020) — Relates to establishing protections from excessive hospital emergency charges

Establishes patient protections from excessive hospital emergency charges; includes hospital charges, including hospital charges for inpatient services which follow an emergency room visit.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **A264** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=A264&term=2019&Text=Y)
2. **A264A** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2019/A264A)
3. **A264B** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2019/A264B)

## Votes

- MOTION:PRETLOW; To appeal decision of the chair — **90–49** (pass) · lower
- Assembly Vote — **91–47** (pass) · lower
- Floor Vote - Version: B — **62–0** (pass) · upper

## Sponsors

- CAHILL — primary (person)
- ARROYO — cosponsor (person)
- BARRON — cosponsor (person)
- BLAKE — cosponsor (person)
- COLTON — cosponsor (person)
- JACOBSON — cosponsor (person)
- JEAN-PIERRE — cosponsor (person)
- MCDONOUGH — cosponsor (person)
- ORTIZ — cosponsor (person)
- REYES — cosponsor (person)
- STECK — cosponsor (person)
- TAYLOR — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-01-09** REFERRED TO INSURANCE `referral-committee`
- **2019-05-02** AMEND (T) AND RECOMMIT TO INSURANCE `referral-committee, amendment-passage`
- **2019-05-02** PRINT NUMBER 264A `amendment-passage`
- **2019-05-17** AMEND (T) AND RECOMMIT TO INSURANCE `referral-committee, amendment-passage`
- **2019-05-17** PRINT NUMBER 264B `amendment-passage`
- **2019-05-21** REPORTED REFERRED TO CODES `referral-committee`
- **2019-06-05** REPORTED REFERRED TO RULES `referral-committee`
- **2019-06-05** REPORTED
- **2019-06-05** RULES REPORT CAL.65
- **2019-06-05** ORDERED TO THIRD READING RULES CAL.65
- **2019-06-05** RULING OF CHAIR ON POINT OF ORDER
- **2019-06-05** PASSED ASSEMBLY `passage`
- **2019-06-05** DELIVERED TO SENATE
- **2019-06-05** REFERRED TO RULES `referral-committee`
- **2019-06-18** SUBSTITUTED FOR S3171A
- **2019-06-18** 3RD READING CAL.1598
- **2019-06-18** PASSED SENATE `passage`
- **2019-06-18** RETURNED TO ASSEMBLY
- **2019-10-11** DELIVERED TO GOVERNOR `executive-receipt`
- **2019-10-17** SIGNED CHAP.375 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/89387a4a-b4d9-4f8b-aa46-8cd59f19d9c5`. Confidence: reported (aggregated from official New York legislature records).