Healthcare

in committee · New York · Assembly Jan 12, 2026

A 2384: Requires insurers to provide insurance coverage for rare diseases, life-threatening conditions or diseases, degenerative and disabling conditions, or diagnoses involving medically fragile children

Requires insurers to provide insurance coverage for treatment of rare diseases, life-threatening conditions or diseases, degenerative and disabling conditions, or diagnoses involving medically fragile children, by a provider of the patient's choice.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover specified rare, life-threatening, and degenerative conditions, expanding health coverage access for vulnerable patients.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 1792: Enacts the "ensuring access to behavioral health act"

Enacts the "ensuring access to behavioral health act"; includes mental health services, substance use disorder treatment services and recovery support services to network adequacy requirements for insurance coverage.

Topics ✓ HealthcareSupports HealthcareBill mandates inclusion of mental health/substance use services in insurance network adequacy, expanding coverage and access per healthcare topic description.95% confidence

Sub-Topics Insurance Mental Health Substance Abuse

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in committee · New York · Senate Jan 7, 2026

S 1756: Creates esophageal cancer educational pamphlets and requires esophageal cancer testing and treatments be covered by certain insurance plans

This bill requires the state health commissioner to create plain-language educational pamphlets about esophageal cancer symptoms, risk factors, testing options, and treatment alternatives. Healthcare providers must give these pamphlets to patients at risk (e.g., those with family history) or diagnosed with esophageal cancer. It also mandates that most health insurance plans cover esophageal cancer screening and treatment without patient cost-sharing, applying to hospital, surgical, and medical policies. The pamphlets must be updated as needed and distributed by January 2026.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for esophageal cancer screening/treatment without cost-sharing, expanding access and removing financial barriers per bill summary.95% confidence

Sub-Topics Hospitals Insurance

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in committee · New York · Senate Jan 7, 2026

S 2533: Authorizes the dispensing of abortion medication

Authorizes the dispensing of abortion medication under certain conditions; requires insurance policies providing coverage for contraception to provide coverage for abortion medication.

Topics ✓ HealthcareSupports HealthcareBill requires insurance coverage for abortion medication, expanding health coverage and improving access to reproductive healthcare services.95% confidence

Sub-Topics Women's Health

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in committee · New York · Senate Jun 5, 2026

S 8484: Regulates the use of artificial intelligence in the provision of therapy or psychotherapy services

Regulates the use of artificial intelligence in the provision of therapy or psychotherapy services by prohibiting the use of artificial intelligence to assist in providing supplementary support where the session is recorded or transcribed unless the patient is informed of the specific purpose of such use and consents of such use; establishes penalties for violations of such provisions; excludes religious counseling, peer-support, and self-help materials and educational resources from such provisions.

Topics ✓ HealthcareSupports HealthcareProhibits unconsented AI use in therapy sessions, requiring patient consent for recorded/transcribed AI assistance, protecting patient rights in mental health services.92% confidence ✓ TechnologySupports TechnologyMandates patient consent for AI use in therapy sessions, protecting data privacy in healthcare technology applications.95% confidence

Sub-Topics Mental Health Artificial Intelligence

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in committee · New York · Senate Jan 7, 2026

S 4242: Provides for health insurance coverage for nutritional care provided through licensed nutritionists

This bill would require health insurance plans to cover nutritional care provided by licensed nutritionists, directly affecting insured individuals seeking such services and licensed nutritionists who would now be recognized as covered providers. It amends insurance law to add "nutritional care provided through licensed nutritionists" as a covered benefit under existing health insurance plans. The key mechanism is a specific addition to insurance coverage provisions, ensuring these services are included alongside other covered items like lab tests and medical equipment. This change would take effect January 1 following enactment, expanding access to nutrition services within standard health insurance coverage.

Topics ✓ HealthcareSupports HealthcareRequires health insurance plans to cover nutritional care by licensed nutritionists, expanding covered health services and improving patient access to nutritional care.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 5830: 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 essential healthcare services without restrictions.95% confidence

Sub-Topics Insurance Women's Health

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in committee · New York · Assembly Jan 7, 2026

A 4051: Relates to including accountable care organizations within the definition of a managed care provider

This bill amends New York's social services law to include accountable care organizations (ACOs) under the legal definition of "managed care provider." It directly affects ACOs established under Article 29-E of the Public Health Law, allowing them to operate under the same regulatory framework as traditional managed care plans for Medicaid programs. The key change adds specific language to the law stating that ACOs qualify as managed care providers, streamlining their eligibility for Medicaid contracts. The Health Commissioner must implement these changes through regulations, effective immediately upon the bill's enactment.

Topics ✓ HealthcareSupports HealthcareBill expands ACO regulatory eligibility under Medicaid managed care, streamlining access to coordinated care services for beneficiaries without restricting coverage.90% confidence

Sub-Topics Medicaid Public Health

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in committee · New York · Senate Jan 7, 2026

S 3365: Provides for payment of claims submitted by healthcare agencies

S 3365 requires payors (like insurance companies or government programs) to pay healthcare agencies - such as licensed home care services, certified home health agencies, and long-term care programs - within specific deadlines for complete, error-free claims. Payors must pay electronic claims within 30 days and paper claims within 45 days, and if a claim is disputed, they must notify providers in writing within 15 days detailing the issues. The bill defines a "clean claim" as one fully identifying the service, patient, and provider, with all required documentation, and imposes penalties including 12% annual interest for late or improper payments. This directly affects healthcare agencies by streamlining payment processes and holding payors accountable for delays.

Topics ✓ HealthcareSupports HealthcareRequires timely payment of healthcare claims to providers, ensuring financial stability and uninterrupted services, aligning with improved patient access and provider support indicators.90% confidence

Sub-Topics Long-Term Care

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in committee · New York · Senate Jan 7, 2026

S 5107: 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 including ABA, expanding access to essential healthcare services for patients.95% confidence

Sub-Topics Insurance

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