A 7321 New York Assembly · 2025 Regular Session

Requires health insurers to provide coverage for speech therapy for stuttering

This bill (A 7321) would require New York health insurers to cover speech therapy for stuttering when recommended by a physician. It applies to all medical, major medical, and similar insurance plans, eliminating limits on the number of therapy sessions or visits. Coverage must be provided by licensed professionals and clarifies that school-based therapy (like IEPs) does not affect medical coverage for therapy outside educational settings. The bill was vetoed by the governor in October 2025 and did not become law.
Bill status vetoed 4 of 5 stages cleared
Introduction
Mar 2025
Committee Review
Jun 2025
Assembly Passage
Jun 2025
Senate Passage
Jun 2025
Vetoed
Oct 2025
Introduced Mar 25, 2025 Vetoed Oct 16, 2025
Maddy AI version diff · 1 comparison

What changed between versions

A7321 A7321A · 5 edits
MODERATE
This bill was amended to expand coverage for speech therapy for stuttering under New York's insurance law. The changes clarify which policies must provide coverage, specify who can perform the therapy, and add protections for medical management and network requirements.
Scope change
The bill now applies to a broader range of insurance policies including medical, major medical, and similar comprehensive-type coverage, and clarifies that coverage applies to services provided on a supplemental basis outside educational settings.
REQUIREMENT

Changed the requirement from 'health care provider licensed to practice in the state of New York' to 'health care professional licensed pursuant to title eight of the education law' for speech therapy services.

Added provisions allowing medical management and utilization review of speech therapy services, and permitting policies to require services through a network of participating providers.

Added physician referral requirement for speech therapy coverage under several sections of the insurance law.

ELIGIBILITY

Added exceptions allowing coverage denial when speech therapy is provided under an individualized family service plan or individualized education plan, while maintaining coverage for supplemental services outside educational settings.

TIMELINE

Changed the effective date from 'one hundred twentieth day after it shall have become a law' to 'first of January next succeeding the date on which it shall have become a law'.

Floor votes · Senate Jun 10, 2025 · Assembly Jun 6, 2025

How they voted

571
Passed · 5 other
Total votes 63
Jun 10, 2025
D Democratic41
37 Yea 4
90% Yea
R Republican22
20 Yea 1 Nay 1
90% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
15
Key actions
4
Committee
2
Amendments
3
Oct 17, 2025
Amended
TABLED
lower
Oct 16, 2025
Vetoed
VETOED MEMO.44
lower
Jun 10, 2025
Upper · Passed
PASSED SENATE
upper
Jun 6, 2025
Committee
REFERRED TO RULES
upper
Jun 6, 2025
Lower · Passed
PASSED ASSEMBLY
lower
May 7, 2025
Lower · Passed
PRINT NUMBER 7321A
lower
May 7, 2025
Lower · Passed
AMEND AND RECOMMIT TO INSURANCE
lower
Mar 25, 2025
Committee
REFERRED TO INSURANCE
lower
1 primary · 16 co-sponsors

Sponsors