Limits the reimbursement amount of certain overpayment claims and reviews where such overpayment was due to the provider's submission of records which were not in accordance with program requirements at the time but which were in accordance with current requirements as a result of changes to guidelines or regulations.
Relates to providing information to patients and the public on hospital rule-based exclusions; requires the commissioner of health to collect from each hospital a list of its hospital rule-based exclusions and publish such information on the department's website.
This bill expands the legal definition of "eating disorder" in New York State law to explicitly include avoidant/restrictive food intake disorder (ARFID), alongside existing conditions like anorexia and bulimia. It updates two key laws: Section 30.02 of the Mental Hygiene Law (which defines eating disorders) and Section 207 of the Public Health Law (which governs awareness programs). By adding ARFID to the definition, the bill ensures individuals with this condition qualify for mental health services and support programs currently available for other recognized eating disorders. The change directly affects people diagnosed with ARFID who seek mental health care, aligning state policy with current medical diagnostic standards. The bill takes effect immediately upon enactment.
This bill (S 8969) requires all health insurers in New York to cover speech therapy for stuttering under medical, major medical, or similar comprehensive insurance plans. It mandates coverage upon a physician's referral for both habilitative (developing speech skills) and rehabilitative (restoring speech) therapy, provided by licensed professionals. Insurers cannot impose limits on the number of therapy visits or set maximum benefit amounts for this coverage. The bill specifically allows insurers to deny coverage if therapy is already provided through school-based plans (like IEPs or IFSPs), but requires supplemental coverage outside of schools when recommended by a doctor.
This bill requires health insurers in New York to cover speech therapy for stuttering, directly affecting people with stuttering who need this treatment. Insurers must cover all costs for therapy (including both habilitative and rehabilitative treatment) when recommended by a physician, with no limits on the number of visits or duration. Coverage may be denied only if therapy is already provided through school-based education plans (like IEPs), but insurers must still cover supplemental therapy outside of school settings when a physician refers the patient. The law applies to all individual, group, and health service corporation insurance policies issued or renewed after its effective date.
Prohibits insurance carriers and employers from withholding certain benefits from injured workers based on a claim that such workers have voluntarily withdrawn from the labor market by not seeking alternate employment that their injury or illness does not preclude them from performing.
Prohibits drug, cannabis or alcohol testing of pregnant or postpartum individuals and newborns unless the individual consents and it is within the scope of medical care, or the testing is necessary for a medical emergency.
Addresses non-covered dental services by requiring all policies providing coverage of and all contracts for dental services issued to include a disclosure stating that a participating provider may charge their normal fee for services that are not covered; requires a cost estimate to be provided.
Provides liability protections for health care providers who issue vaccines so long as such vaccination does not arise out of willful misconduct or gross negligence.
Relates to the distribution of educational materials regarding the misuse of and addiction to prescription drugs in counties with the most prevalent prescription substance use disorder.