This bill (A 9571) increases family leave benefits under New York's workers' compensation law, directly affecting eligible employees taking leave for medical care, bonding with a newborn, or military family exigencies. It gradually raises weekly benefit percentages (from 50% to 67% of average weekly wage) and extends maximum leave duration (from 8 to 12 weeks) over time, with specific phased-in dates starting in 2018. Covered employers must provide these enhanced benefits while maintaining health insurance coverage during leave. The changes apply to employees meeting eligibility criteria under the law, with the Superintendent of Financial Services retaining limited authority to delay increases.
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2026-2027 state fiscal year; extends provisions requiring the quarterly assessment of known and projected department of health state fund Medicaid expenditures (Part A); extends certain health provisions (Part B); extends certain provisions of law relating to the health care reform act; extends provisions relating to the distribution of pool allocations and graduate medical education; extends provisions relating to health care initiative pool distributions; extends payment provisions for general hospitals; extends provisions relating to assessments on covered lives; extends the personal care services worker recruitment and retention program (Part C); relates to insurance coverage for medical malpractice paid for by funds from the hospital excess liability pool; extends portions of the New York Health Care Reform Act of 1996 (Part D); makes technical corrections to certain provisions of law relating to the New York State Dental Foundation and other provisions of law (Part F); relates to automated external defibrillators (AEDs) (Part G); extends certain provisions relating to payments from the New York state medical indemnity fund (Part I); relates to temporary health care services agencies and protecting individuals engaged to provide health care services by such agencies (Part J); restores capital rate reductions for nursing homes (Part L); limits the amount payable for certain services provided to certain eligible persons who are also beneficiaries under part B of title XVII of the federal social security act or are also qualified Medicare beneficiaries; clarifies Medicaid requirements for biomarker testing (Part M); relates to hospital and nursing home fee-for-service reimbursement rates and reductions in hospital capital rate add-ons (Part O); directs the commissioners of the office of mental health, office for people with developmental disabilities, office of addiction services and supports, office of temporary and disability assistance, office of children and family services and the director of the state office for the aging to establish a state fiscal year 2026-2027 targeted inflationary increase for projecting for the effects of inflation upon rates of payments, contracts, or any other form of reimbursement for certain programs and services; requires such commissioners and director to provide funding to support a 2.7% targeted inflationary increase for such programs and services (Part P); changes "substance use" to substance-related and addictive disorder claims for purposes of the insurance law and public health law (Part R); relates to the effectiveness of provisions of law relating to Medicaid management; removes certain provisions providing for lower minimum amounts of certain state aid for the city of New York than the rest of the state (Part T); extends certain government rates for behavioral services referencing the office of addiction services and supports and relates to the effectiveness thereof (Part U); relates to the effectiveness of certain provisions of law relating to the closure or transfer of a state-operated individualized residential alternative (Part V); extends the care demonstration program (Part W); relates to medical assistance for needy persons age sixty-five or older and who are eligible for medical assistance but for their immigration status through the fee-for-service program (Part X); provides for an amended New York managed care organization provider tax at a rate of 0.35% effective January 1, 2027 (Part Y); provides that services provided in school-based health centers shall not be provided to medical assistance recipients through managed care programs (Part Z); extends provisions of law relating to reimbursement rates for medically fragile children and pediatric diagnostic and treatment centers (Part AA); amends provisions for dispute resolution for emergency services and surprise bills; provides for benchmarking of amounts allowed for health care services provider in the same or similar specialty and provided in the same geographical area (Part BB).
This bill requires health insurance plans and Medicaid to cover inpatient and outpatient substance abuse treatment for a minimum of 45 days. It directly affects individuals seeking treatment for substance use disorders by mandating that insurers cannot impose stricter financial limits or treatment restrictions on these services than they do for general medical care. Key provisions include prohibiting extra costs or prior authorization requirements for substance treatment that are more restrictive than those applied to other medical benefits. The law applies to all comprehensive insurance policies and Medicaid plans, ensuring coverage for detoxification, rehabilitation, and medically necessary residential care without arbitrary time limits.
This bill expands New York's official definition of "eating disorder" in mental health law to explicitly include avoidant/restrictive food intake disorder (ARFID), alongside existing conditions like anorexia and bulimia. It directly affects individuals diagnosed with ARFID by ensuring they qualify for mental health services, insurance coverage, and prevention programs previously limited to other recognized eating disorders. The key mechanism amends two laws: updating the definition in the Mental Hygiene Law (Section 30.02) and requiring the state's eating disorders awareness program to cover this newly included condition. This change ensures ARFID is formally recognized in medical and mental health practice under state law.
S 8841 adds mandatory electronic personal income tax filings as a new method for New Yorkers to register for the Donate Life Registry, which facilitates organ, eye, and tissue donation. It requires tax forms subject to electronic filing to include a clear, conspicuous question asking: "Would you like to be added to the Donate Life Registry? Check box for 'yes' or 'skip this question'." This change directly affects all New York residents who file taxes electronically, making organ donation registration part of routine tax processing. The bill updates existing public health law provisions to include tax filings alongside other registration methods like driver's licenses and health insurance applications.
Establishes "The Equity in Fertility Treatment Act"; relates to the definition of infertility and health insurance coverage for the treatment of infertility.
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2026-2027 state fiscal year; extends provisions requiring the quarterly assessment of known and projected department of health state fund Medicaid expenditures (Part A); extends certain health provisions (Part B); extends certain provisions of law relating to the health care reform act; extends provisions relating to the distribution of pool allocations and graduate medical education; extends provisions relating to health care initiative pool distributions; extends payment provisions for general hospitals; extends provisions relating to assessments on covered lives; extends the personal care services worker recruitment and retention program (Part C); relates to insurance coverage for medical malpractice paid for by funds from the hospital excess liability pool; extends portions of the New York Health Care Reform Act of 1996 (Part D); makes technical corrections to certain provisions of law relating to the New York State Dental Foundation and other provisions of law (Part F); relates to automated external defibrillators (AEDs) (Part G); extends certain provisions relating to payments from the New York state medical indemnity fund (Part I); relates to temporary health care services agencies and protecting individuals engaged to provide health care services by such agencies (Part J); restores capital rate reductions for nursing homes (Part L); limits the amount payable for certain services provided to certain eligible persons who are also beneficiaries under part B of title XVII of the federal social security act or are also qualified Medicare beneficiaries; clarifies Medicaid requirements for biomarker testing (Part M); relates to hospital and nursing home fee-for-service reimbursement rates and reductions in hospital capital rate add-ons (Part O); directs the commissioners of the office of mental health, office for people with developmental disabilities, office of addiction services and supports, office of temporary and disability assistance, office of children and family services and the director of the state office for the aging to establish a state fiscal year 2026-2027 targeted inflationary increase for projecting for the effects of inflation upon rates of payments, contracts, or any other form of reimbursement for certain programs and services; requires such commissioners and director to provide funding to support a 2.7% targeted inflationary increase for such programs and services (Part P); changes "substance use" to substance-related and addictive disorder claims for purposes of the insurance law and public health law (Part R); relates to the effectiveness of provisions of law relating to Medicaid management; removes certain provisions providing for lower minimum amounts of certain state aid for the city of New York than the rest of the state (Part T); extends certain government rates for behavioral services referencing the office of addiction services and supports and relates to the effectiveness thereof (Part U); relates to the effectiveness of certain provisions of law relating to the closure or transfer of a state-operated individualized residential alternative (Part V); extends the care demonstration program (Part W); relates to medical assistance for needy persons age sixty-five or older and who are eligible for medical assistance but for their immigration status through the fee-for-service program (Part X); provides for an amended New York managed care organization provider tax at a rate of 0.35% effective January 1, 2027 (Part Y); provides that services provided in school-based health centers shall not be provided to medical assistance recipients through managed care programs (Part Z); extends provisions of law relating to reimbursement rates for medically fragile children and pediatric diagnostic and treatment centers (Part AA); amends provisions for dispute resolution for emergency services and surprise bills; provides for benchmarking of amounts allowed for health care services provider in the same or similar specialty and provided in the same geographical area (Part BB).
This bill requires health insurance plans and issuers to cover rehabilitation treatment for children diagnosed with pediatric acute-onset neuropsychiatric syndrome (PANS) when an attending physician certifies the medical necessity in writing. It directly affects children with PANS and their families, ensuring insurance coverage for necessary rehabilitation services. The key provision mandates that insurers provide this coverage without additional barriers, relying solely on physician certification rather than prior authorization for the treatment. The law applies to all health insurance policies issued, renewed, or modified on or after its effective date.
Relates to protecting retiree health insurance benefits; provides that the health insurance benefits provided to retired officers, employees, and their dependents by the state and its political subdivisions shall not be diminished or impaired below the actuarial value of the benefits provided as of December thirty-first, two thousand twenty-one.
This bill requires most health insurance plans issued after 2020 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, with pharmacists receiving administrative fees at least at Medicaid rates. Plans must allow dispensing up to 12 months of contraceptives at once and cover alternative versions if preferred options aren’t available or medically unsuitable. This directly affects insured individuals seeking contraceptive care and insurers offering comprehensive health coverage.
