This bill requires all health insurance plans in New York to cover continuous blood glucose monitors (like Dexcom devices) and related diabetes management supplies for **all children** diagnosed with diabetes or other sugar disorders, as prescribed by a doctor. It mandates coverage for equipment including monitors, test strips, insulin pumps, and diabetes self-management education (such as dietary guidance and treatment training). The law applies to all insurance policies covering physician services or major medical care, regardless of the child's age. Coverage must include medically necessary items listed by the state health department and education provided by certified professionals, limited to specific medically necessary circumstances.
Relates to notifying an insured of a rate filing increase or decrease for long term care; provides such notification shall include instructions on how to submit comments on such rate filing.
Senate Bill 4692 requires all private colleges and universities in the state to provide menstrual products. These products must be made available in the restrooms of their school buildings. The bill specifies that these items must be offered at no charge to students. This legislation directly affects private higher education institutions, which must supply the products, and benefits their students by ensuring free access to them.
Bill A 6522 allows specific Medicaid Accountable Care Organizations (ACOs) to purchase group health insurance policies for their members and employees. It permits ACOs comprised solely of private physician practices to offer experience-rated health insurance plans. The bill establishes requirements for these policies, including minimum coverage numbers and methods for premium payment. It also exempts qualifying ACOs from certain small group rating rules, provided they meet criteria such as having a minimum number of employers and a significant Medicaid patient base.
Requires patient hospital admissions form to allow a patient to designate a domestic partner with the same privileges as a next-of-kin respecting visitation and the authorizing of surgery for a patient in the absence and unavailability of a next-of-kin or nearest relative where the patient has given no specific instructions and becomes unable to execute a health care proxy or make decisions about their health care.
Provides for enrollment of eligible incarcerated persons in the medical assistance for needy persons program; provides for enrollment of incarcerated individuals in other medical assistance programs, where eligible.
Relates to physician charges for missed appointments by patients; bars physicians from charging fees if a patient arrives on time for appointment but was not seen; requires written policy about missed appointments be prominently posted in patient waiting room and included in bills mailed to patients.
This bill requires large group health insurance plans in New York to cover acupuncture services when prescribed by qualified healthcare providers (as defined under Education Law §8211). It applies to plans covering physician office services or comprehensive medical coverage, mandating coverage for acupuncture treatments but allowing reasonable cost-sharing like deductibles or co-pays. The law does not require full coverage without cost-sharing, only that plans include acupuncture as a covered service under specified conditions. It affects insurers offering large group plans and patients relying on such coverage for acupuncture treatments. The bill takes effect 90 days after enactment for new or renewed policies.
Authorizes the commissioner of health to establish standards for approval of onsite overdose response services; requires nightlife establishments, sporting or event centers, theaters, concert venues, and amusement parks to maintain a supply of opioid antagonists; provides that emergency use of opioid antagonist is covered by good Samaritan law.
This bill simplifies enrollment and recertification for New York Medicaid recipients needing long-term care. It automatically assigns people requiring community-based long-term care for over 120 days to a managed care plan (based on prior care workers, quality, and location), unless they choose otherwise. It also allows certain groups - like those in managed long-term care plans, receiving personal care services, or getting fixed Social Security income - to recertify automatically without resubmitting resource documentation, using "attestation" instead. These changes aim to reduce administrative burdens for both recipients and the state.
