Prevents public employers from diminishing health insurance benefits provided to retirees and their dependents or the contributions such employer makes for such health insurance coverage below the level of such benefits or contributions made on behalf of such retirees and their dependents by such public employer.
Bill S 3185 mandates that health insurance policies covering pain management services must also provide outpatient coverage for non-opioid treatments for chronic pain, defined as pain lasting over three months. This directly affects individuals with chronic pain by expanding their covered treatment options to include complementary and integrative therapies. The bill ensures that insurance companies cannot impose stricter financial requirements or treatment limitations on non-opioid chronic pain treatments than they do for other medical benefits or for opioid-based pain treatments. This aims to provide comparable access and coverage for these non-opioid alternatives.
Provides that every health insurance policy which provides coverage for hospital, surgical or medical care shall provide coverage for the standard diagnostic testing for ovarian cancer upon the recommendation of a physician; provides that such standard diagnostic testing shall include a pelvic examination, a sonogram and a CA 125 blood test and related laboratory and diagnostic services.
S 5635, the "Fertility Protection Act," requires health insurance plans to cover fertility preservation services (like egg or sperm freezing) when a medical treatment - such as cancer therapy, surgery, or radiation - poses a risk of causing infertility. It directly affects patients undergoing such treatments who need to preserve fertility before starting care. The bill amends social services law to mandate this coverage under specific conditions, defining "iatrogenic infertility" as fertility impairment caused by medical interventions. The policy change takes effect immediately upon enactment.
This bill requires health insurance plans to reimburse providers for the full cost of administering recommended vaccines. It mandates coverage for both vaccine acquisition costs (using CDC private sector rates plus a 21% minimum for shipping/storage) and all administration expenses (including counseling, supplies, and routine nursing activities based on current Medicare rates). The law directly affects healthcare providers who administer vaccines, ensuring they are compensated for both the vaccine itself and the full process of delivery. It applies to all CDC-recommended vaccines for diseases like measles, polio, and hepatitis B, as determined by health authorities.
This bill requires all health insurance plans covering prescription drugs to also cover the cost of donated breast milk. It directly affects insurance companies and policyholders by mandating this coverage under existing prescription drug coverage policies. The key provision amends three sections of the insurance law to explicitly include donated breast milk costs in all relevant insurance policies, effective immediately. This creates a concrete policy change without altering existing coverage requirements for other medical expenses.
This bill requires health insurance plans to cover specific asthma treatments and education. It mandates coverage for rescue inhalers, spacers, nebulizers, and related equipment for all policyholders, with additional school supplies for children under 19. Insurance must also cover asthma self-management education - taught by certified providers - during diagnosis, when symptoms change significantly, or for refresher sessions, including home visits when medically necessary. The coverage applies to all policies issued or renewed after the effective date, subject to standard deductibles and coinsurance. This directly affects people with asthma and their families who rely on insurance for treatment.
This bill amends New York's insurance law to require health insurers to cover image-guided breast biopsies as part of mandatory breast cancer screening. It directly affects patients seeking breast cancer detection and insurers who must provide this coverage when recommended by a physician following nationally recognized clinical guidelines. The key change adds "image-guided breast biopsies" to the list of covered screening and diagnostic imaging procedures, alongside mammograms and ultrasounds. Coverage applies only when the procedure is recommended by a physician and aligns with evidence-based clinical guidelines. The requirement takes effect January 1, 2026, for new or renewed insurance policies.
S 7030 amends New York's insurance law to expand the legal definition of "infertility" to explicitly include individuals in same-sex relationships. This change directly affects same-sex couples seeking insurance coverage for infertility treatments, as the updated definition now recognizes their circumstances under the same medical criteria used for heterosexual couples. The key provision adds "or be in a same-sex relationship" to the existing definition, which previously focused on heterosexual conception attempts. The bill does not create new benefits but adjusts how infertility is defined for insurance purposes, aligning the legal standard with current medical practice. It became law immediately upon enactment.
This bill requires most health insurance plans to cover prenatal vitamins when prescribed by licensed healthcare providers (such as doctors or nurse practitioners). It applies to all medical, major medical, and similar comprehensive insurance policies sold in the state, including those covering prescription drugs. Coverage may still include standard deductibles and coinsurance, consistent with other benefits in the policy. The law aims to ensure access to prenatal vitamins without additional out-of-pocket costs beyond typical plan requirements.
