Healthcare (Insurance)

in committee · New York · Assembly Mar 16, 2026

A 6924: Ensures fairness in organ donations to persons with physical or mental disabilities

Bill A 6924, titled "Ensures fairness in organ donations to persons with physical or mental disabilities," prohibits hospitals, transplant centers, and other healthcare providers from denying organ transplants or related services based solely on a person's disability. It requires covered entities to consider existing support networks (like family or Medicaid-funded home care) and make reasonable policy adjustments - such as providing accessible communication or involving designated support persons - so individuals with disabilities can meet post-transplant medical requirements. The law explicitly bans discrimination in referral, waiting list placement, or insurance coverage for transplant-related care, while allowing medical decisions based on individualized health assessments. It aligns with the Americans with Disabilities Act and applies to all New York residents needing organ transplants.

Topics ✓ HealthcareSupports HealthcareProhibits denial of organ transplants based on disability, ensuring equitable access to healthcare services for disabled patients.95% confidence

Sub-Topics Insurance Long-Term Care Medicaid

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in committee · New York · Senate May 26, 2026

S 2619: Expands insurance coverage of in vitro fertilization

New York's S 2619 requires large employer health insurance plans to cover up to three cycles of in vitro fertilization (IVF) for infertility treatment. This applies to policies providing comprehensive medical coverage, with coverage subject to standard deductibles and co-payments like other benefits. The bill removes prior restrictions limiting IVF coverage to three cycles, mandating insurers to include it as part of infertility treatment. It defines a "cycle" as either fresh or frozen embryo transfer procedures under medical guidelines. The law does not cover experimental treatments or other excluded procedures listed in the bill.

Topics ✓ HealthcareSupports HealthcareMandates coverage of IVF under employer insurance, expanding access to infertility treatment and aligning with healthcare coverage expansion indicators.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 4012: Requires notification to insureds that an out-of-network physician may be used in their procedure, test or surgery

Requires notification to insureds that an out-of-network physician may be used in their procedure, test or surgery and such physician's services shall not be covered by their insurance policy; provides such services must be covered if the insured person does not receive notification prior to such services or procedure.

Topics ✓ HealthcareSupports HealthcareRequires insurer notification to prevent uncovered out-of-network services, protecting patients from unexpected costs and ensuring coverage when not notified.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 7689: Prohibits insurers from cancelling life insurance policies where certain medical information is provided to the insurer at the time of application

This bill requires life insurance applicants to provide medical history at application through a physician's statement or medical records. If insurers accept the application based on this disclosure, they cannot later cancel the policy or reject the application due to the disclosed medical conditions. It directly protects applicants with pre-existing health conditions who voluntarily share their medical history upfront. The law takes effect immediately upon passage.

Topics ✓ HealthcareSupports HealthcarePrevents life insurance cancellation for disclosed pre-existing conditions, protecting patient rights and advancing fair insurance coverage under healthcare policy.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 1722: Relates to reducing pharmacy benefit manager costs

This bill requires pharmacy benefit managers (PBMs) to use a pass-through pricing model for health insurance plans, meaning they can only charge health insurers for actual drug costs, dispensing fees paid to pharmacies, and a capped administrative fee. PBMs must disclose and pass through all rebates, discounts, and other financial benefits they receive from drug manufacturers to health plans, and they are prohibited from using "spread pricing" (charging health plans more than the actual pharmacy payment plus a reasonable fee). The bill defines "pharmacy benefit manager" as entities that contract with pharmacies on behalf of health insurers or plans to manage drug benefits. These requirements apply to all health insurers offering coverage under New York's insurance laws and are subject to oversight by the state insurance department.

Topics ✓ HealthcareSupports HealthcareForces PBMs to pass rebates to insurers, reducing hidden costs in drug pricing and lowering overall healthcare expenses for plans.90% confidence

Sub-Topics Insurance Prescription Drugs

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signed · New York · Assembly Feb 14, 2025

A 430: Requires certain health insurance policies to cover scalp cooling systems for the preservation of hair during cancer chemotherapy treatment; repealer

Requires certain large group health insurance policies and contracts to cover scalp cooling systems for the preservation of hair during cancer chemotherapy treatment.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for scalp cooling during chemo, expanding patient access to hair preservation treatment under healthcare coverage.95% confidence

Sub-Topics Insurance

in committee · New York · Assembly Jan 7, 2026

A 1668: Prohibits the diminution of health insurance benefits of certain public employee retirees

Prohibits the diminution of health insurance benefits of public employee retirees and their dependents or reducing the employer's contributions for such insurance; defines employers to include the state, municipalities, school districts, and public authorities and commissions.

Topics ✓ Budget & TaxesSupports Budget & TaxesPrevents budget cuts to public retiree health benefits, maintaining current state/municipal spending commitments on employer contributions for retiree healthcare.95% confidence ✓ HealthcareSupports HealthcareBill explicitly prohibits reducing health insurance benefits for public retiree retirees and employer contributions, protecting existing coverage.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentProhibits cuts to public retirees' health insurance benefits, directly protecting worker benefits under Labor & Employment standards.95% confidence

Sub-Topics Insurance Public Employees

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in committee · New York · Senate Jan 7, 2026

S 6033: Directs department of health to contract with community organizations for distribution of information on health care services and benefits available to immigrants

Directs the department of health to contract with community-based organizations and not-for-profit corporations for the provision of outreach, information and educational services to immigrants on the availability of health care services, medical assistance, emergency medical assistance, the family health plus program and the child health insurance plan.

Topics ✓ HealthcareSupports HealthcareDirects outreach to immigrants about existing health programs (medical assistance, CHIP, Family Health Plus), improving access to healthcare services and benefits.95% confidence ✓ ImmigrationSupports ImmigrationBill directs the Department of Health to provide outreach and information on health care services and benefits specifically for immigrants, which strengthens immigrant services.95% confidence

Sub-Topics Children's Health Insurance Driver Licenses & IDs Immigrant Services

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in committee · New York · Senate Jan 7, 2026

S 4378: Requires insurer to respond within thirty days of a request from an insured for their health plan documents

Requires insurer to respond within thirty days of a written request from an insured for their health plan documents, including copies of most recent group or individual contracts.

Topics ✓ HealthcareSupports HealthcareMandates insurer transparency for patient access to health plan documents, protecting consumer rights and improving access to coverage details.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 2206: Ensures fairness in organ donations to persons with physical or mental disabilities

S 2206 prohibits hospitals and transplant centers from denying organ transplants or related services solely due to a person's physical or mental disability. It requires covered entities (like hospitals and transplant programs) to make reasonable accommodations - such as involving support networks or using accessible communication methods - to ensure individuals with disabilities can access transplants. The bill explicitly bans discrimination in listing patients on waiting lists, referrals, or insurance coverage for transplant-related care. It aligns with the Americans with Disabilities Act by requiring individualized medical evaluations rather than assumptions about disability. This law directly affects New York residents with disabilities who need organ transplants, ensuring they receive fair consideration based on medical suitability, not disability status.

Topics ✓ HealthcareSupports HealthcareProhibits disability-based denial of organ transplants, ensuring equitable access to healthcare services and protecting patient rights in transplant care.95% confidence

Sub-Topics Insurance

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