Healthcare (Insurance)

in committee · New York · Assembly Jan 7, 2026

A 6087: Requires health insurance policies to fully cover multi-marker testing related to certain patients

Requires health insurance policies to fully cover multi-marker testing related to ovarian cancer to patients which have been diagnosed with an ovarian adnexal mass.

Topics ✓ HealthcareSupports HealthcareMandates full insurance coverage for ovarian cancer testing, expanding patient access and reducing out-of-pocket costs for a critical diagnostic service.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 7, 2026

S 2397: Requires health insurers to provide coverage for diagnosis and treatment of fibroids

Requires health insurers to provide coverage for procedures relating to the diagnosis and treatment of uterine fibroids and related conditions, including pain, discomfort and infertility resulting therefrom.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage for fibroid diagnosis/treatment, expanding patient access to care for a specific health condition.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 5939: Relates to coverage of primary and preventive obstetric and gynecological care; repealer

This bill requires New York health insurance plans to cover preventive obstetric and gynecological services - such as cervical cancer screenings and bone density tests for osteoporosis - without annual deductibles or co-payments. It mandates prescription drug plans to include coverage for FDA-approved contraceptives, which may include reasonable deductibles and co-payments, while allowing religious organizations to opt out of covering contraceptives conflicting with their beliefs. Enrollees in group plans that opt out of contraceptive coverage can directly purchase it from their insurer at the same cost as the group plan. The bill repeals prior contraceptive coverage requirements and updates insurance law to standardize these preventive care provisions.

Topics ✓ HealthcareSupports HealthcareMandates no-cost coverage for preventive OB/GYN services and contraceptives, expanding patient access to essential healthcare without cost-sharing barriers.95% confidence

Sub-Topics Insurance Prescription Drugs Women's Health

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in committee · New York · Assembly Jan 28, 2026

A 5444: Provides insurance coverage for perimenopausal and menopausal care and treatment

This bill requires all health insurance policies covering hospital, surgical, or medical care to include comprehensive coverage for perimenopausal and menopausal care and treatment. It mandates coverage for specific symptoms like hot flashes, sleep disruption, bone loss, and cognitive changes without annual deductibles, co-pays, or coinsurance. The law directly affects women experiencing these symptoms and their insurance providers, who must comply with the new coverage standards. It applies to all policies issued, renewed, or modified on or after the effective date (January 1 following enactment). The bill defines "menopause" as a 12-month absence of menstruation and "perimenopause" as the transitional phase leading to menopause.

Topics ✓ HealthcareSupports HealthcareMandates comprehensive insurance coverage for perimenopausal/menopausal care without deductibles/co-pays, expanding access to specific health services for women.95% confidence

Sub-Topics Hospitals Insurance Women's Health

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passed · New York · Senate Mar 24, 2026

S 7731: Requires coverage of a hospitalized birthing parent's interhospital transport to accompany their infant needing such transport

Requires insurance coverage of a hospitalized birthing parent's interhospital transport to accompany such birthing parent's newborn infant experiencing a condition necessitating transport.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for birthing parent's transport with infant, expanding access to necessary care and protecting patient rights during medical transport.95% confidence

Sub-Topics Insurance Women's Health

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in committee · New York · Senate Jan 7, 2026

S 3425: Provides for establishment of the New York Health plan

Establishes the New York Health program, a comprehensive system of access to health insurance for New York state residents; provides for administrative structure of the plan; provides for powers and duties of the board of trustees, the scope of benefits, payment methodologies and care coordination; establishes the New York Health Trust Fund which would hold monies from a variety of sources to be used solely to finance the plan; enacts provisions relating to financing of New York Health, including a payroll assessment, similar to the Medicare tax; establishes a temporary commission on implementation of the plan; provides for collective negotiations by health care providers with New York Health.

Topics ✓ Budget & TaxesSupports Budget & TaxesEstablishes New York Health Trust Fund to finance healthcare program, creating dedicated budget allocation for public health services.95% confidence ✓ HealthcareSupports HealthcareEstablishes comprehensive health insurance program for NY residents, creating new coverage access and funding mechanisms through the New York Health Trust Fund.95% confidence

Sub-Topics Insurance Medicare

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in committee · New York · Assembly Apr 28, 2026

A 2683: Provides coverage for a cranial prosthesis under certain conditions

This bill requires health insurance policies in the state to cover cranial prostheses (defined as wigs or hairpieces) for individuals experiencing medical hair loss due to conditions like alopecia areata, lupus, or scarring alopecia. Coverage must be prescribed by a licensed provider for treatment, limited to one instance per year, and capped at $750 per coverage period (subject to existing cost-sharing). It applies to all health insurance policies covering prostheses, including group plans and hospital service contracts. The law takes effect immediately for new or renewed policies.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for cranial prostheses due to medical conditions, expanding patient access to necessary health services and aligning with coverage expansion indicators.95% confidence

Sub-Topics Hospitals Insurance

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in committee · New York · Senate Jan 7, 2026

S 3271: Provides coverage for remotely connected insulin pens for certain patients with diabetes

This bill requires New York's medical assistance program to cover remotely connected insulin pens for eligible patients with diabetes. It specifically covers patients aged seven or older using these devices with prescribed insulin cartridges, and allows children under seven to use them with adult supervision. The coverage must be included under the pharmacy benefit, with managed care organizations reflecting the costs in their premium payments. This policy change ensures access to modern insulin delivery technology for diabetes patients without additional out-of-pocket costs.

Topics ✓ HealthcareSupports HealthcareMandates coverage for diabetes management devices, expanding access to modern insulin treatment under pharmacy benefit for eligible patients.95% confidence

Sub-Topics Insurance Prescription Drugs Telehealth

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passed both · New York · Assembly Jun 2, 2026

A 6522: Relates to Medicaid accountable care organizations

Bill A 6522 allows specific Medicaid Accountable Care Organizations (ACOs) to purchase group health insurance policies for their members and employees. It permits ACOs comprised solely of private physician practices to offer experience-rated health insurance plans. The bill establishes requirements for these policies, including minimum coverage numbers and methods for premium payment. It also exempts qualifying ACOs from certain small group rating rules, provided they meet criteria such as having a minimum number of employers and a significant Medicaid patient base.

Topics ✓ HealthcareSupports HealthcareBill enables Medicaid ACOs to offer experience-rated insurance plans, expanding coverage options and access for members while exempting them from restrictive rating rules.92% confidence

Sub-Topics Insurance Medicaid

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passed · New York · Senate Apr 29, 2026

S 6494: Requires health insurance policies to include coverage for doula services as required coverage for maternity care

This bill requires all health insurance policies in New York to cover doula services as part of mandated maternity care. It directly affects health insurers and policyholders by adding doulas (non-medical birth support professionals) to the list of covered services alongside hospital stays and midwife care. The key provision amends insurance law to mandate that maternity coverage includes doula services for at least 48 hours post-birth (or 96 hours for C-sections), without duplicating physician or midwife services already provided. This applies to all new, renewed, or modified policies issued 180 days after the law takes effect.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for doula services in maternity care, expanding patient access to non-medical birth support without cost-sharing.95% confidence

Sub-Topics Hospitals Insurance Women's Health

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