Healthcare (Insurance)

in committee · New York · Assembly Jan 7, 2026

A 1439: Requires health insurance policies to offer full coverage for annual testing for ovarian cancer and requires certain health care providers offer annual testing for ovarian cancer

Requires health insurance policies to offer full coverage for annual testing for ovarian cancer; requires certain health care providers offer annual testing for ovarian cancer.

Topics ✓ HealthcareSupports HealthcareMandates full insurance coverage for ovarian cancer testing and requires providers to offer annual screening, expanding access to preventive care and strengthening coverage for a critical health service.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Feb 4, 2026

A 6923: Requires health insurance plans to provide coverage for continuous blood glucose monitors for all children

Requires health insurance plans to provide coverage for continuous blood glucose monitors for all children; requires coverage for glucose monitoring devices for all sugar disorders.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for pediatric glucose monitors, expanding access to essential diabetes care for children and strengthening coverage requirements.95% confidence

Sub-Topics Insurance

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passed · New York · Senate Jun 3, 2026

S 8592: Requires health insurance plans to provide coverage for continuous blood glucose monitors for all children

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.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for diabetes management tools (monitors, pumps, education), expanding access for children with diabetes per bill's explicit requirements.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 6586: Requires health insurance policies and Medicaid to cover patient navigation services

Bill A 6586 requires health insurance plans and Medicaid to cover patient navigation services for individuals with serious conditions expected to last at least three months and at high risk of hospitalization, nursing home placement, or health decline. These services help connect patients to social supports like transportation, housing, food assistance, and healthcare appointments, and include referrals, enrollment help, and care coordination. Certified navigators (trained through approved programs) must provide these services under a healthcare provider's supervision. The law applies to all medical, major medical, and comprehensive insurance policies, ensuring coverage for high-risk patients who need help accessing care.

Topics ✓ HealthcareSupports HealthcareRequires insurance/Medicaid to cover patient navigation services, expanding coverage for high-risk patients and improving access to care coordination and social supports.95% confidence

Sub-Topics Insurance Long-Term Care Medicaid

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in committee · New York · Senate Jan 7, 2026

S 3104: Requires comprehensive coverage for treatment of obesity

Requires comprehensive coverage for treatment of obesity, including coverage for prevention and wellness, nutrition counseling, intensive behavioral therapy, bariatric surgery, and FDA-approved anti-obesity medication.

Topics ✓ HealthcareSupports HealthcareBill mandates comprehensive insurance coverage for obesity treatment, expanding access to prevention, counseling, and medical interventions, directly advancing healthcare access and coverage.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 4215: Requires mandatory health insurance coverage for prosthetic devices

Requires mandatory health insurance coverage for prosthetic devices; requires coverage where the model is determined to adequately meet the medical needs of the policy holder.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for prosthetic devices, expanding patient access to essential medical equipment per bill summary.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 7900: Relates to prescription drug cost-sharing assistance

Authorizes insurance policies which provide coverage for prescription drugs where cost-sharing obligations are determined by category of prescription drugs to offer a program to insureds that utilizes rebates or discounts to lower an insured's cost-sharing for prescription drugs if the insured's cost-sharing under such program would be more favorable than the cost-sharing that would otherwise be applicable to the prescription drug.

Topics ✓ HealthcareSupports HealthcareBill lowers patient prescription drug costs via rebates/discounts, improving affordability and access to medications under insurance coverage.95% confidence

Sub-Topics Insurance Prescription Drugs

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signed · New York · Assembly Feb 14, 2025

A 443: Relates to step therapy protocol

This bill modifies New York's insurance law to regulate "step therapy" protocols used by health insurers. It directly affects patients and insurers by limiting how insurers can require patients to try lower-cost drugs before covering a prescribed medication. Key provisions include capping required drug trials at two per condition, banning protocols for unapproved or unsupported drugs, requiring insurer acceptance of doctors' written proof of drug failure as valid evidence, and preventing redundant step therapy for patients who recently completed it under another plan. The changes take effect January 1, 2026.

Topics ✓ HealthcareSupports HealthcareLimits insurer barriers to medication access, requiring acceptance of physician proof of prior failure, protecting patient rights in coverage decisions.95% confidence

Sub-Topics Insurance

in committee · New York · Assembly Jan 7, 2026

A 2352: Requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals in certain circumstance

This bill requires health insurers to automatically approve preauthorization requests for specific medical services when healthcare professionals (like doctors or nurses) have received approval for at least 90% of similar requests in the past six months. It directly affects healthcare providers who work with participating insurers and ensures insurers must pay for covered services without delay or reduction once automatic approval is granted. Key provisions include annual reviews (by November 15th) to maintain approval status, a 30-day notice period before rescinding approvals, and a guarantee that insurers cannot deny payment for services covered under the automatic approval. The law aims to reduce administrative delays for providers while maintaining insurer oversight through retrospective reviews.

Topics ✓ HealthcareSupports HealthcareMandates automatic preauthorization for providers with high approval rates, reducing delays in patient access to covered services without insurer interference.95% confidence

Sub-Topics Insurance

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vetoed · New York · Senate Oct 16, 2025

S 6441: Requires certain health insurance policies include coverage for services provided by pharmacists related to contraceptives

This bill requires most health insurance plans to cover contraceptive services provided by pharmacists without cost-sharing. It mandates coverage for all FDA-approved contraceptives (including over-the-counter options), emergency contraception, patient counseling, and follow-up care like device insertion/removal. Plans must allow dispensing up to 12 months of contraceptives at once and reimburse pharmacists the same rate as other healthcare providers. The law applies to group/blanket health insurance policies issued or renewed on or after January 1, 2025, directly affecting insured individuals and pharmacists providing these services.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for contraceptive services without cost-sharing, expanding access to reproductive healthcare services.95% confidence

Sub-Topics Insurance Prescription Drugs Women's Health

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