Healthcare (Insurance)

in committee · New York · Senate Jan 7, 2026

S 2730: Requires mandatory health insurance coverage for prosthetic devices

Requires mandatory health insurance coverage for prosthetic devices; requires coverage where the model is determined to be medically necessary for rehabilitative and habilitative purposes.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for medically necessary prosthetics, expanding patient access to essential medical devices.95% confidence

Sub-Topics Insurance

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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 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 · 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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in committee · New York · Senate Jan 7, 2026

S 8550: Requires certain health insurance plans cover electrocardiograms for adults and children who have received a coronavirus vaccine

Requires certain health insurance plans cover electrocardiograms for adults and children who have received a coronavirus vaccine regardless of family history of heart disease or conditions.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for ECGs post-vaccine, expanding preventive care access without prior health history restrictions.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 4009: Relates to covering mental illness under the healthy New York program

This bill (S 4009) requires insurers and certain health corporations to cover the diagnosis and treatment of mental health conditions under the Healthy New York program. It amends insurance law to mandate this coverage in group/school blanket policies, individual policies, and health service contracts for inpatient care or physician services. The key provision directly affects insurers, medical expense indemnity corporations, and health service corporations offering these specific plans. It ensures policyholders receiving these insurance types have access to mental health care as part of their coverage, without adding new exemptions or cost-sharing requirements. The bill takes immediate effect upon enactment.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover mental health diagnosis/treatment under Healthy New York, expanding coverage and strengthening mental health services per bill's explicit requirements.95% confidence

Sub-Topics Hospitals Insurance Mental Health

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in committee · New York · Assembly Jan 7, 2026

A 8136: 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 HealthcareAuthorizes rebates/discounts to lower patient prescription costs under insurance, improving affordability and access to medications per bill summary.95% confidence

Sub-Topics Insurance Prescription Drugs

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