Healthcare (Insurance)

in committee · New York · Senate Jan 7, 2026

S 5302: Requires coverage for colorectal cancer early detection beginning at age thirty-five

Requires coverage for colorectal cancer early detection beginning at age thirty-five; adds coverage for colorectal cancer early detection as a required coverage for individual policies; requires notification of colorectal early detection coverage to be provided to insured individuals beginning at age thirty-five.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for colorectal cancer screening at 35, expanding preventive care access and meeting support indicators for coverage expansion.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 21: Relates to coverage for children for services related to the diagnosis and treatment of mental, nervous or emotional disorders or ailments

Requires insurance policies to provide coverage for services related to the diagnosis and treatment of mental, nervous or emotional disorders or ailments; makes related provisions.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for children's mental health services, expanding access to mental health care and directly supporting healthcare policy.95% confidence

Sub-Topics Insurance Mental Health

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in committee · New York · Senate Jan 7, 2026

S 3102: Provides lifetime, premium-free insurance through the New York state of health marketplace to a person who donates a kidney during the course of their lifetime

Provides lifetime, premium-free insurance through the New York state of health marketplace to a person who donates a kidney during the course of their lifetime; establishes the kidney donor insurance fund.

Topics ✓ HealthcareSupports HealthcareProvides lifetime premium-free insurance to kidney donors, expanding coverage access and funding through a dedicated insurance fund for healthcare services.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 3896: Relates to coverage for the screening, diagnosis and treatment of autism spectrum disorder

Relates to coverage for applied behavior analysis and for developmental, individual-differences, relationship-based treatment of autism spectrum disorder.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for autism spectrum disorder treatments, expanding access to ABA and developmental therapies per bill summary.90% confidence

Sub-Topics Insurance

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passed both · New York · Assembly Jun 1, 2026

A 1428: Requires insurers to cover the substitution of a brand name prescription drug when the federal food and drug administration has declared that there is a supply issue with a generic drug

Requires insurers to cover the substitution of a brand name prescription drug when the federal food and drug administration has declared that there is a supply issue with a generic drug.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage for brand drugs during generic shortages, expanding patient access to necessary medications without cost barriers.90% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · New York · Assembly Jan 7, 2026

A 6714: Provides for standardized health insurance contracts for small dental employers

This bill establishes a program offering standardized health insurance plans to qualifying small dental employers in New York. To qualify, employers must have no more than 50 employees, employ at least one dentist providing 10+ monthly dental visits to patients on medical assistance (under Title XI of the Social Services Law), and employ two licensed dental hygienists. Insurers must provide these standardized plans without changes, covering at least 50% of the employer's employees, and employers must annually certify ongoing eligibility. The program aims to make health insurance more accessible for small dental practices serving lower-income patients.

Topics ✓ HealthcareSupports HealthcareEstablishes standardized insurance plans for dental employers, expanding coverage options under healthcare policy per bill's mandate for insurers to provide non-modified plans.90% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 8124: Relates to circumstances under which a consumer may be subject to a new special open enrollment period to choose a new health insurance plan

Allows for a new special open enrollment period to choose a new health insurance plan for consumers in certain instances to allow for continuity of care with an existing health care provider.

Topics ✓ HealthcareSupports HealthcareEnables special enrollment for continuity of care with existing providers, improving patient access to health insurance plans.90% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 9225: Relates to health insurance and provider divestment

Provides that it is unlawful for any person to directly or indirectly own, operate, or control the whole or any part of a health insurance company and a health care provider; requires divestment within three years.

Topics ✓ HealthcareSupports HealthcarePrevents conflicts of interest between insurers and providers, promoting fairer access and protecting patient rights through mandated divestment.90% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 5789: Requires insurance policies to provide coverage for medically necessary hearing aids purchased from hearing aid dispensers

This bill requires most health insurance plans in New York to cover medically necessary hearing aids for children under 18. It mandates coverage for hearing aids purchased from licensed hearing aid dispensers or audiologists, including related services like mold adjustments. Coverage is limited to one hearing aid per ear every 24 months, unless a child's hearing loss significantly changes within that period. Insurance plans may still apply deductibles or copays, but must cover the hearing aids themselves (excluding batteries and cords).

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for medically necessary hearing aids, expanding access to essential health services for children under 18.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 9281: Requires medical insurers to permit patients to assign their payments

This bill requires health insurers to allow patients to directly assign their payments to healthcare providers (like doctors or clinics) for covered services, regardless of whether the provider is in the insurer’s network. It applies to all medical, hospital, and surgical insurance policies issued in the state, ensuring patients can pay out-of-network providers directly if services are covered. Insurers must also send written notices to policyholders when paying providers directly, detailing the payment amount, services covered, and calculation method. The law takes effect 90 days after enactment for new or renewed policies.

Topics ✓ HealthcareSupports HealthcareBill mandates insurers to allow direct patient payments to providers, improving access to out-of-network care and protecting patient payment rights under covered services.90% confidence

Sub-Topics Hospitals Insurance

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