Healthcare (Insurance)

died · New York · Senate Jan 7, 2026

S 5812: Prohibits approved providers of child health insurance coverage from discriminating against health care providers not participating in the insurer's network

Prohibits approved organizations providing coverage under the child health insurance plan from discriminating against health care providers which do not participate in the organization's health care network.

Topics ✓ HealthcareSupports HealthcareProhibits insurers from discriminating against non-network providers, improving patient access to care and protecting provider choice under child health insurance programs.95% confidence

Sub-Topics Children's Health Insurance

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in committee · New York · Senate Nov 25, 2025

S 6377: Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities and insurers; relates to coverage for treatment for gender dysphoria

This bill requires New York Medicaid to cover all medically necessary gender-affirming care, regardless of federal funding availability. It prohibits healthcare entities (including hospitals, licensed professionals, and insurers) from discriminating against patients based on gender identity, sexual orientation, or other protected characteristics. Insurers must cover treatment for gender dysphoria without excluding it based on transgender status, and cannot apply annual deductibles or coinsurance for this care - except in high-deductible health plans. The law also mandates that insurers provide appeal rights for denied coverage related to gender dysphoria treatment.

Topics ✓ HealthcareSupports HealthcareBill mandates Medicaid coverage of gender-affirming care, prohibits discrimination by healthcare entities/insurers, and requires coverage for gender dysphoria treatment, expanding health coverage and protecting patient rights.95% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Senate May 20, 2026

S 514: Relates to the mandatory coverage of hearing aids by insurers and other organizations

This bill requires large group health insurance plans to cover hearing aids for policyholders who receive a medical evaluation and have them fitted by a licensed hearing aid provider. It mandates coverage for the cost of hearing aids (up to $2,500 per ear every 36 months) but prohibits insurers from denying coverage based on brand, style, or technology. The law applies to all large group medical, major medical, or comprehensive health insurance policies and ensures coverage for in-network providers. It directly affects insured individuals with hearing loss and the insurers offering these plans.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for hearing aids, expanding patient access to essential health services under specified cost limits and prohibiting coverage denials.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 2033: Establishes a deferred compensation health insurance premium deduction

Establishes a tax deduction for a taxpayer who is a beneficiary of a deferred compensation plan and who elects to make a distribution of such deferred compensation in order to pay for qualified health insurance premiums, in an amount equal to six thousand dollars.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax deduction for health insurance premiums using deferred compensation, providing tax relief to eligible taxpayers under state tax policy.85% confidence ✓ HealthcareSupports HealthcareProvides tax deduction for health insurance premiums, reducing out-of-pocket costs and improving affordability for individuals with deferred compensation plans.85% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jun 2, 2026

S 2113: Relates to Medicaid accountable care organizations

Senate Bill 2113 allows Medicaid accountable care organizations (ACOs) comprised of private physician practices to purchase group health insurance for their members and employees. The bill amends insurance law to create a new category for these specific ACO policies, requiring the organizations to be established for purposes other than just obtaining insurance and to have been active for at least two years. These policies must cover a minimum of 100 individuals at the time of issue and can be funded by the ACO, members, or both. It also exempts qualifying ACO policies from certain small group rating rules, enabling them to access experience-rated health insurance.

Topics ✓ HealthcareSupports HealthcareBill enables Medicaid ACOs to purchase group insurance, expanding coverage options for members/employees through new insurance category requirements.85% confidence

Sub-Topics Insurance Medicaid

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in committee · New York · Senate Mar 31, 2026

S 4872: Provides notice of health insurance contracts for retired officers, employees, and their families

This bill requires public employers to provide 45 days' written notice to retired officers, employees, and their families before approving or amending health insurance contracts covering them. The notice must include either the full contract text with cost details or general terms plus a link to where the full details (including costs to the public corporation and retirees) can be accessed. It applies to all health insurance contracts for retirees that are authorized by a public corporation's governing board. This is a procedural requirement focused on transparency, not changes to insurance benefits or coverage.

Topics ✓ HealthcareSupports HealthcareRequires public employers to provide notice of health insurance contract changes to retirees, protecting their access to coverage information and rights under healthcare policy.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentRequires 45-day notice for retiree health insurance changes, ensuring transparency and protecting post-employment benefits for former workers.65% confidence

Sub-Topics Insurance

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in committee · New York · Senate Apr 17, 2025

S 7470: Requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals in certain circumstance

Bill S 7470 requires health insurers and plans to grant automatic preauthorization approvals to eligible health care professionals for specific services. A health care professional qualifies for this if an insurer has approved at least 90% of their preauthorization requests for that particular service during the most recent six-month evaluation period. Once a professional has automatic approval, the corresponding health care service is deemed medically necessary, and the insurer must promptly pay the full claim without denial, reduction, or retroactive recoupment. Insurers are required to conduct initial and annual evaluations to determine eligibility for these automatic approvals.

Topics ✓ HealthcareSupports HealthcareEliminates manual preauthorization delays for high-performing providers, improving patient access to medically necessary services without additional funding.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 4526: Expands health care plan contract coverage for any health care provider for one hundred twenty days after the termination of such contract

This bill requires health insurance plans to continue covering healthcare providers (like hospitals or clinics) for 120 days after a contract ends, including payment terms. It directly affects providers who lose contracts and their patients (enrollees), ensuring uninterrupted access during the transition. Key provisions include requiring plans to notify affected enrollees within 15 days of the 120-day period starting and allowing the commissioner to shorten this period for cause. The bill does not apply if both parties mutually agree to termination with 30 days' notice to enrollees. This creates a standardized buffer to prevent sudden gaps in care for patients.

Topics ✓ HealthcareSupports HealthcareBill mandates 120-day continued coverage for providers post-contract termination, ensuring uninterrupted patient access and preventing coverage gaps during transitions.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 1789: Requires certain private insurance plans to reimburse for services provided by child advocacy centers

Requires private insurance plans which provide for reimbursement for psychiatric or psychological services or for diagnosis and treatment of mental health conditions to include reimbursement for services provided by child advocacy centers.

Topics ✓ HealthcareSupports HealthcareMandates insurance reimbursement for child advocacy mental health services, expanding coverage under existing mental health reimbursement requirements.95% confidence

Sub-Topics Insurance Mental Health

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in committee · New York · Senate Jan 7, 2026

S 3404: Requires providers of insurance policies to maintain a database of health care providers offering foreign language services

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.

Topics ✓ HealthcareSupports HealthcareRequires insurers to list multilingual providers, improving patient access to language-assisted care per ACA-covered policies.90% confidence ✓ ImmigrationSupports ImmigrationBill S 3404 mandates a database of healthcare providers' spoken languages, facilitating access to care for individuals with language barriers, directly supporting immigrant access to services.85% confidence

Sub-Topics Insurance Immigrant Services

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