S 1198 New York Senate · 2025 Regular Session

Limits co-payments for physical and occupational therapy services

This bill (S 1198) limits patient co-payments for physical and occupational therapy services under group health insurance policies. It requires that insurers cannot charge co-payments exceeding 20% of the total reimbursement paid to the therapy provider. The law applies to all group accident, health, or accident-and-health insurance policies covering these services, which must be provided by licensed therapists under physician referral. This change directly affects insured patients receiving physical or occupational therapy, capping their out-of-pocket costs for these covered services.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 8, 2025 Last action Jan 7, 2026
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Total actions
2
Key actions
0
Committee
2
Jan 7, 2026
Committee
REFERRED TO INSURANCE
upper
Jan 8, 2025
Committee
REFERRED TO INSURANCE
upper
1 primary · 5 co-sponsors

Sponsors