S 3404 requires health insurance providers (covered under the Affordable Care Act) to create and maintain a publicly accessible database. This database must list doctors, physicians, and other healthcare providers covered by their policies, including each provider's name, location, specialty, and languages spoken. The law directly affects insurance companies and their policyholders who need language assistance when accessing care. It mandates this database be available to all customers, clients, or insured individuals under the policy. The bill does not change coverage or cost but improves access to multilingual care information.
This bill establishes a program offering standardized health insurance contracts to qualifying small dental employers and small employers meeting specific criteria. It defines "qualifying small dental employers" as those with up to 50 employees, including at least one dentist providing 10+ monthly Medicaid-covered visits and two licensed dental hygienists. Employers must certify annually they meet requirements (e.g., ≤50 employees, no prior group coverage, 30% of employees earning ≤$30,000 adjusted annually) and insurers must provide uniform benefit packages without changes. The program aims to make affordable coverage available year-round, with preference for employers serving lower-wage workers or higher Medicaid patient volumes.
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.
This bill allows pharmacists and registered nurses to dispense emergency contraception without an individual prescription, under a "non-patient specific regimen" ordered by a physician, nurse practitioner, or midwife. It directly affects patients seeking pregnancy prevention, particularly young women, by expanding access through pharmacies and clinics. Key provisions include requiring healthcare providers to give patients written educational materials about usage, follow-up care, and related health risks, while preserving existing professional scopes of practice. The law defines emergency contraception as FDA-approved drugs used after intercourse to prevent pregnancy, clarifying it is not an abortion method.
Enacts the "health insurance preauthorization disclosure act"; requires health insurance companies to provide participating health care providers with a list of health care treatments and services that require preauthorization from the health insurance company.
This bill (S 1796) requires health insurance plans to cover services provided by certified recovery peer advocates and specific inpatient treatment services for people with substance use disorders. It amends coverage rules to include these services when delivered through programs certified or authorized by the Office of Addiction Services and Supports. The key change ensures that peer advocacy support and inpatient care at certified facilities become part of standard insurance coverage, rather than requiring separate authorization. This directly affects individuals receiving substance use disorder treatment at approved facilities. The bill does not create new services but mandates their inclusion in existing coverage requirements.
Relates to preserving access to affordable drugs; provides that an agreement resolving or settling, on a final or interim basis, a patent infringement claim, in connection with the sale of a pharmaceutical product, shall be presumed to have anticompetitive effects if a nonreference drug filer receives anything of value from another company asserting patent infringement and if the nonreference drug filer agrees to limit or forego research, development, manufacturing, marketing, or sales of the nonreference drug filer's product for any period of time.
Ensures the decision to downcode an insurance claim is recognized as an adverse determination; prohibits health plans from reversing or altering medical necessity determinations made by a utilization review agent or external appeals agent as a result of an audit of claims.
This bill requires health insurance companies to provide written notice to policyholders at least 60 days before implementing any change to premium rates for group health insurance policies. It directly affects individuals and businesses holding group health insurance policies by giving them advance notice of upcoming rate increases. The key provision mandates that insurers send this written notice 60 to 120 days prior to the effective date of the new rates. This change applies to both large and small group policyholders covered under the same policy type.
This bill requires all employers in child protective services (CPS) to provide mental health support services to their employees. It specifically mandates access to resources like trauma-focused therapy, EMDR treatment, counseling, and informational support to address workplace stress and secondary trauma. The law directly affects CPS workers - such as caseworkers and supervisors - who face high-stress, emotionally demanding situations daily. The key provision is a legal obligation for employers to cover these services, aiming to improve employee well-being and retention. (4 sentences)
