Healthcare (Insurance)

in committee · New York · Assembly Jan 7, 2026

A 7142: Relates to requiring certain health insurance issuers to certify that at least a majority of prescription drug rebates are provided to patients at the point of sale

Requires certain health insurance issuers to certify that at least a majority of prescription drug rebates are provided to patients at the point of sale.

Topics ✓ HealthcareSupports HealthcareMandates insurers pass rebates directly to patients, reducing out-of-pocket costs and improving medication access at point of sale.92% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · New York · Assembly Jan 7, 2026

A 3120: Provides reimbursement for transportation to and from inpatient and outpatient diagnosis and treatment of substance use disorder

This bill requires health insurance plans covering hospital or major medical services to reimburse transportation costs for both inpatient and outpatient treatment of substance use disorder. It applies to all such insurance policies and mandates that transportation coverage cannot have stricter financial rules than those for standard medical care. The bill also ensures inpatient coverage includes unlimited medically necessary residential treatment for substance use disorder without restrictive limits. This directly affects insurance companies (by requiring new coverage) and people seeking substance use disorder treatment (by reducing transportation barriers).

Topics ✓ HealthcareSupports HealthcareMandates insurance reimbursement for substance use disorder treatment transportation, expanding coverage access without stricter financial rules than standard care.90% confidence

Sub-Topics Hospitals Insurance Substance Abuse

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in committee · New York · Senate Mar 26, 2026

S 6474: Enacts the "Give Kids a Chance - Carter's Law"; mandates health insurance coverage for congenital anomalies

Enacts the "Give Kids a Chance - Carter's Law" mandating health insurance coverage for congenital anomalies including certain reconstructive services, habilitative services, and inpatient and outpatient services.

Topics ✓ HealthcareSupports HealthcareMandates health insurance coverage for congenital anomalies, including reconstructive/habilitative services, directly expanding patient access to essential healthcare services.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Mar 26, 2025

S 6902: Relates to requiring all insurance policies and medical assistance to provide coverage for medically necessary hearing aids for children under 16 years of age

Enacts "Isabella's law" to require all health insurance policies and medical assistance to provide insurance coverage for the cost of medically necessary hearing aids for children under the age of 16.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for medically necessary hearing aids for children, expanding health insurance benefits and improving access to essential healthcare services for minors.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 1710: Provides for coverage for certain individuals under the 1332 state innovation program

This bill establishes a new health coverage option under New York's 1332 state innovation program, allowing the state to create a health plan for specific uninsured New Yorkers who don't qualify for Medicaid or ACA marketplace plans. It directly affects residents under 65 with household incomes between 133% and 250% of the federal poverty line, including some noncitizens ineligible for Medicaid due to immigration status. Key provisions include requiring coverage for essential health services (like cancer care access at Medicaid rates, dental, vision, and chronic illness support), automatic enrollment for children born to eligible parents, and continued coverage during pregnancy for one year postpartum. The program requires federal approval under the ACA's Section 1332 waiver process and operates alongside existing Medicaid and marketplace plans.

Topics ✓ HealthcareSupports HealthcareExpands health coverage for uninsured NY residents (133-250% FPL) via new 1332 program, requiring essential health services for previously excluded groups.92% confidence ✓ ImmigrationSupports ImmigrationExplicitly includes noncitizens ineligible for Medicaid due to immigration status in health coverage program, providing services to this group.90% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Assembly Jan 7, 2026

A 3947: Requires API to facilitate patient and provider access to health information for enrollees and contract providers

Requires insurance companies to establish and maintain API to facilitate patient and provider access to health information; includes patient access, provider directory and payer to payer exchange.

Topics ✓ HealthcareSupports HealthcareRequires insurance APIs for patient/provider health info access, directly improving data accessibility per support indicators.90% confidence ✓ TechnologySupports TechnologyRequires API implementation for health data access, promoting standardized technology use in sensitive information handling per healthcare data privacy standards85% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 4567: Provides for the New York state of health to help veterans ascertain their eligibility for health care through the department of veterans affairs

This bill requires New York's state health insurance marketplace (the "New York State of Health") to help veterans determine if they qualify for U.S. Department of Veterans Affairs (VA) health care benefits. It directs the marketplace to check veterans' eligibility during their application process and provide them with resources to apply for VA benefits directly. The law applies specifically to veterans seeking health coverage through New York's state marketplace. The key provision mandates this assistance without altering VA eligibility rules or creating new benefits. The bill takes effect 90 days after enactment, with immediate rule changes allowed for implementation.

Topics ✓ HealthcareSupports HealthcareBill facilitates veterans' access to VA healthcare benefits through state marketplace eligibility checks, improving access to public health coverage without restricting services.90% confidence ✓ VeteransSupports VeteransMandates state health marketplace to help veterans determine VA health care eligibility and apply for benefits, improving access to veteran healthcare.95% confidence

Sub-Topics Insurance Veteran Benefits Veteran Education Veteran Healthcare

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in committee · New York · Senate Mar 25, 2026

S 1670: Requires insurance coverage for lactation consultant services

Requires insurance coverage for lactation support services by a certified lactation consultant who evaluate and manage lactation and infant feeding problems and provide preventative clinical consulting to prevent or minimize the occurrence of potential problems.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for lactation support, expanding access to essential maternal health services and aligning with healthcare coverage expansion indicators.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jun 2, 2026

S 5955: Relates to mandatory health insurance coverage for acupuncture services

This bill requires most large employer-sponsored health insurance plans in New York to cover acupuncture services when prescribed by a qualified healthcare provider. Specifically, it mandates that plans covering physician office services or major medical coverage must include acupuncture treatment (as defined by law) without denying coverage based on the provider's scope of practice. Plans may still apply standard cost-sharing rules like deductibles, co-pays, or benefit limits for these services. The law directly affects health insurers and employers offering large group health plans, effective 90 days after enactment.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for acupuncture services, expanding patient access without scope-based denial, directly advancing health coverage under healthcare policy indicators.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates employer health plans to cover acupuncture, expanding employee health benefits under employment standards without restricting access, aligning with worker benefit protections.85% confidence

Sub-Topics Healthcare Workforce Insurance Medical Licensing

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in committee · New York · Assembly Jan 7, 2026

A 3782: Provides for increased podiatry care and benefits under accident and health insurance policies

Provides for increased podiatry care and benefits under individual and group accident and health insurance policies and contracts within non-profit medical and dental indemnity, or health and hospital service corporations.

Topics ✓ HealthcareSupports HealthcareIncreases insurance coverage for podiatry care, expanding patient access to specialized foot care services under health insurance policies.95% confidence

Sub-Topics Hospitals Insurance

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