Healthcare (Insurance)

in committee · New York · Assembly Jan 7, 2026

A 6087: Requires health insurance policies to fully cover multi-marker testing related to certain patients

Requires health insurance policies to fully cover multi-marker testing related to ovarian cancer to patients which have been diagnosed with an ovarian adnexal mass.

Topics ✓ HealthcareSupports HealthcareMandates full insurance coverage for ovarian cancer testing, expanding patient access and reducing out-of-pocket costs for a critical diagnostic service.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 2397: Requires health insurers to provide coverage for diagnosis and treatment of fibroids

Requires health insurers to provide coverage for procedures relating to the diagnosis and treatment of uterine fibroids and related conditions, including pain, discomfort and infertility resulting therefrom.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage for fibroid diagnosis/treatment, expanding patient access to care for a specific health condition.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 5939: Relates to coverage of primary and preventive obstetric and gynecological care; repealer

This bill requires New York health insurance plans to cover preventive obstetric and gynecological services - such as cervical cancer screenings and bone density tests for osteoporosis - without annual deductibles or co-payments. It mandates prescription drug plans to include coverage for FDA-approved contraceptives, which may include reasonable deductibles and co-payments, while allowing religious organizations to opt out of covering contraceptives conflicting with their beliefs. Enrollees in group plans that opt out of contraceptive coverage can directly purchase it from their insurer at the same cost as the group plan. The bill repeals prior contraceptive coverage requirements and updates insurance law to standardize these preventive care provisions.

Topics ✓ HealthcareSupports HealthcareMandates no-cost coverage for preventive OB/GYN services and contraceptives, expanding patient access to essential healthcare without cost-sharing barriers.95% confidence

Sub-Topics Insurance Prescription Drugs Women's Health

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in committee · New York · Senate Jan 7, 2026

S 7577: Prohibits certain requirements in insurance contracts

Bill S 7577 prohibits certain requirements in contracts between health insurers, Health Maintenance Organizations (HMOs), and healthcare providers. It prevents contracts from requiring insurers to include all members of a provider group in their networks, place them in the same network tier, or include them in all products. The bill also bans "most-favored-nation" clauses and prevents contracts from limiting the disclosure of service fees or allowed amounts to insured individuals. These provisions aim to affect how provider networks are structured and how pricing information is shared, with compliance beginning January 1, 2026.

Topics ✗ HealthcareOpposes HealthcareBill restricts insurer requirements to include all providers in networks/tiers and bans 'most-favored-nation' clauses, potentially limiting patient access to providers by allowing narrower networks.85% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 28, 2026

A 5444: Provides insurance coverage for perimenopausal and menopausal care and treatment

This bill requires all health insurance policies covering hospital, surgical, or medical care to include comprehensive coverage for perimenopausal and menopausal care and treatment. It mandates coverage for specific symptoms like hot flashes, sleep disruption, bone loss, and cognitive changes without annual deductibles, co-pays, or coinsurance. The law directly affects women experiencing these symptoms and their insurance providers, who must comply with the new coverage standards. It applies to all policies issued, renewed, or modified on or after the effective date (January 1 following enactment). The bill defines "menopause" as a 12-month absence of menstruation and "perimenopause" as the transitional phase leading to menopause.

Topics ✓ HealthcareSupports HealthcareMandates comprehensive insurance coverage for perimenopausal/menopausal care without deductibles/co-pays, expanding access to specific health services for women.95% confidence

Sub-Topics Hospitals Insurance Women's Health

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passed · New York · Senate Mar 24, 2026

S 7731: Requires coverage of a hospitalized birthing parent's interhospital transport to accompany their infant needing such transport

Requires insurance coverage of a hospitalized birthing parent's interhospital transport to accompany such birthing parent's newborn infant experiencing a condition necessitating transport.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for birthing parent's transport with infant, expanding access to necessary care and protecting patient rights during medical transport.95% confidence

Sub-Topics Insurance Women's Health

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in committee · New York · Senate Jan 7, 2026

S 3425: Provides for establishment of the New York Health plan

Establishes the New York Health program, a comprehensive system of access to health insurance for New York state residents; provides for administrative structure of the plan; provides for powers and duties of the board of trustees, the scope of benefits, payment methodologies and care coordination; establishes the New York Health Trust Fund which would hold monies from a variety of sources to be used solely to finance the plan; enacts provisions relating to financing of New York Health, including a payroll assessment, similar to the Medicare tax; establishes a temporary commission on implementation of the plan; provides for collective negotiations by health care providers with New York Health.

Topics ✓ Budget & TaxesSupports Budget & TaxesEstablishes New York Health Trust Fund to finance healthcare program, creating dedicated budget allocation for public health services.95% confidence ✓ HealthcareSupports HealthcareEstablishes comprehensive health insurance program for NY residents, creating new coverage access and funding mechanisms through the New York Health Trust Fund.95% confidence

Sub-Topics Insurance Medicare

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in committee · New York · Assembly Apr 28, 2026

A 2683: Provides coverage for a cranial prosthesis under certain conditions

This bill requires health insurance policies in the state to cover cranial prostheses (defined as wigs or hairpieces) for individuals experiencing medical hair loss due to conditions like alopecia areata, lupus, or scarring alopecia. Coverage must be prescribed by a licensed provider for treatment, limited to one instance per year, and capped at $750 per coverage period (subject to existing cost-sharing). It applies to all health insurance policies covering prostheses, including group plans and hospital service contracts. The law takes effect immediately for new or renewed policies.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for cranial prostheses due to medical conditions, expanding patient access to necessary health services and aligning with coverage expansion indicators.95% confidence

Sub-Topics Hospitals Insurance

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in committee · New York · Senate Jan 7, 2026

S 3131: Relates to aligning Medicaid optional benefits with the requirements of article 43 of the insurance law

This bill (S 3131) requires that Medicaid optional benefits for adults over 21 years old must not exceed the minimum health insurance benefit levels required for private health plans under state law. It directly affects adult Medicaid beneficiaries receiving optional services (like dental or vision care), excluding long-term care. The key mechanism sets a cap on these benefits to align them with private insurance minimums, aiming to reduce state Medicaid costs. Implementation requires federal approval for plan changes and gives the health commissioner authority to create necessary regulations.

Topics ✗ Budget & TaxesOpposes Budget & TaxesBill caps Medicaid optional benefits to reduce state costs, directly restricting public program spending under budget management.90% confidence ✗ HealthcareOpposes HealthcareBill caps Medicaid optional benefits (e.g., dental/vision) at private insurance minimums, restricting additional coverage to reduce costs. Limits patient access to expanded services.85% confidence

Sub-Topics Insurance Long-Term Care Medicaid

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in committee · New York · Senate Jan 7, 2026

S 3271: Provides coverage for remotely connected insulin pens for certain patients with diabetes

This bill requires New York's medical assistance program to cover remotely connected insulin pens for eligible patients with diabetes. It specifically covers patients aged seven or older using these devices with prescribed insulin cartridges, and allows children under seven to use them with adult supervision. The coverage must be included under the pharmacy benefit, with managed care organizations reflecting the costs in their premium payments. This policy change ensures access to modern insulin delivery technology for diabetes patients without additional out-of-pocket costs.

Topics ✓ HealthcareSupports HealthcareMandates coverage for diabetes management devices, expanding access to modern insulin treatment under pharmacy benefit for eligible patients.95% confidence

Sub-Topics Insurance Prescription Drugs Telehealth

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