Healthcare (Insurance)

in committee · New York · Assembly Jul 29, 2026

A 11628: Requires insurance coverage for FDA approved expanded access to certain investigational medical products

Requires insurance policies to provide coverage for federal food and drug administration approved expanded access to an investigational medical product that has been shown to be effective, without the need for any prior authorization determination.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for FDA-approved investigational treatments, directly improving patient access to medical products.95% confidence

Sub-Topics Insurance

Track

in committee · New York · Assembly Jul 29, 2026

A 11656: Provides screening for Cytomegalovirus for persons who are pregnant

This bill requires health insurance policies that cover hospital, surgical, medical, or major medical services to include screening for Cytomegalovirus for pregnant individuals. It directly affects insurance companies by mandating that their plans provide this specific coverage starting January 1, 2027, for any policies issued, renewed, or modified on or after that date. The legislation ensures that pregnant people can access testing for this virus as part of their standard medical benefits without needing to pay extra out of pocket.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for Cytomegalovirus screening for pregnant individuals, expanding access to essential healthcare services.95% confidence

Sub-Topics Hospitals Insurance

Track

in committee · New York · Senate May 11, 2026

S 10268: Requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals in certain circumstance

This bill requires health insurers to automatically approve preauthorization requests for doctors and other providers who have a high success rate with specific services. Under the new rules, a provider becomes eligible for automatic approval if their preauthorization requests for a particular service were approved at least 90% of the time in the last six months. Once a provider qualifies, the insurer must grant immediate approval for future requests without requiring additional paperwork, and the service is treated as medically necessary for payment purposes. Insurers can rescind this automatic status only once a year if the provider's approval rate drops below 90% or if they fail to meet other criteria, and they must provide a 30-day notice before making such changes. The legislation aims to streamline administrative processes for providers with strong track records while maintaining oversight through annual evaluations.

Topics ✓ HealthcareSupports HealthcareBill streamlines preauthorization to improve patient access and reduce administrative barriers for healthcare providers.90% confidence

Sub-Topics Insurance

Track

in committee · New York · Assembly Apr 9, 2026

A 10926: Relates to coverage for New Yorkers losing insurance due to the implementation of HR 1

This bill creates a state-funded program to provide health insurance coverage to New Yorkers who lose eligibility for federal subsidies due to their immigration status. It establishes a new state premium assistance program that offers financial help equivalent to federal tax credits for lawfully present individuals who are currently ineligible for federal aid. Additionally, the legislation expands eligibility for existing state coverage to include more noncitizens and increases income limits for pregnant individuals and their newborns, with some provisions funded directly by state money regardless of federal approval.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill creates a state-funded program to provide health insurance coverage, establishing new premium assistance and expanding eligibility for noncitizens.85% confidence ✓ HealthcareSupports HealthcareBill creates state-funded insurance coverage for New Yorkers losing federal eligibility, expanding access and funding healthcare.95% confidence ✓ ImmigrationSupports ImmigrationBill provides state-funded health insurance to immigrants losing federal subsidies, directly protecting immigrant access to essential services.95% confidence

Sub-Topics Insurance

Track

passed both · New York · Assembly Jun 3, 2026

A 10443: Clarifies who may sue an insurer for violations related to misrepresentations, misleading statements and incomplete comparisons

Clarifies that residents of the state and any policyholder, contract holder, certificate holder, or beneficiary of a policy, contract, or certificate of life, accident and health insurance may sue an insurer for violations related to misrepresentations, misleading statements and incomplete comparisons.

Topics ✓ HealthcareSupports HealthcareBill protects patient rights by clarifying legal recourse against insurers for misrepresentations, strengthening consumer protection in healthcare.85% confidence

Sub-Topics Insurance

Track

in committee · New York · Assembly Jun 3, 2026

A 11406: Requires certain health insurance coverage for prostheses and custom orthoses

Requires health insurance coverage for prosthetic and orthotic devices at a rate no less than the current quarter's Medicare durable medical equipment, prosthetics, orthotics and supplies fee schedule established by the Centers for Medicare and Medicaid services for prosthetic and orthotic devices and services.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for prosthetic and orthotic devices, expanding access to essential medical equipment and strengthening healthcare benefits.90% confidence ✓ VeteransSupports VeteransBill mandates health insurance coverage for prosthetic and orthotic devices, directly improving healthcare access and benefits for veterans who require such devices.85% confidence

Sub-Topics Insurance

Track

in committee · New York · Assembly May 28, 2026

A 11517: Relates to insurance coverage for bruxism diagnosis and treatment

Requires policies which provide dental coverage to provide coverage for bruxism diagnosis and treatment, including the cost of occlusal guards; requires medicaid and HMO coverage.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for bruxism diagnosis, treatment, and occlusal guards, expanding access to dental care.95% confidence

Sub-Topics Insurance Medicaid

Track

in committee · New York · Senate May 5, 2026

S 10208: Relates to insurance coverage for pediatric acute-onset neuropsychiatric syndrome

This bill requires health insurance plans to cover rehabilitation treatment for pediatric acute-onset neuropsychiatric syndrome. Coverage is available when a patient's doctor provides a written certification confirming that the treatment is medically necessary. The legislation applies to all health plans and insurance issuers offering group coverage, ensuring that affected children can access these specific services. The law defines the medical condition by referencing existing definitions in the state's public health code.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for pediatric neuropsychiatric syndrome rehabilitation, expanding access to essential healthcare services.95% confidence

Sub-Topics Children's Health Insurance Public Health

Track

in committee · New York · Senate May 29, 2026

S 10606: Relates to insurance coverage for bruxism diagnosis and treatment

Requires policies which provide dental coverage to provide coverage for bruxism diagnosis and treatment, including the cost of occlusal guards; requires medicaid and HMO coverage.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for bruxism diagnosis, treatment, and occlusal guards, expanding access to dental care.95% confidence

Sub-Topics Insurance Medicaid

Track

in committee · New York · Assembly May 7, 2026

A 10773: Authorizes residential cooperative corporations to offer health insurance

This bill allows residential cooperative corporations in New York to offer health insurance to their shareholders and dependents. To qualify, the cooperative must have been active for at least two years and cannot be created solely to obtain insurance coverage. The law clarifies that providing this insurance does not mean the cooperative is illegally acting as an insurance company itself. Additionally, the state's financial services superintendent will create rules to ensure these plans are safe, fair, and transparent. The changes will take effect approximately six months after the bill is signed into law.

Topics ✓ HealthcareSupports HealthcareBill expands health insurance access to residents of cooperative corporations, increasing coverage options.90% confidence

Sub-Topics Insurance

Track