A 7472 New York Assembly · 2025 Regular Session

Limits co-payments for physical and occupational therapy services

This bill limits out-of-pocket costs for physical and occupational therapy by capping co-payments at 20% of the total reimbursement paid to the provider. It directly affects insured individuals who use these services under group health, accident, or health insurance plans. The key provision requires all such policies to comply with the 20% co-payment limit, regardless of whether therapy is provided by a physician or a licensed therapist. This applies to services covered under physician referrals and replaces previous higher co-payment thresholds.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 28, 2025 Last action Jan 7, 2026
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Actions timeline

Total actions
2
Key actions
0
Committee
2
Jan 7, 2026
Committee
REFERRED TO INSURANCE
lower
Mar 28, 2025
Committee
REFERRED TO INSURANCE
lower
1 primary · 6 co-sponsors

Sponsors