This bill (A 4693) requires health insurers to provide minimum coverage periods for substance use disorder treatment. It mandates at least seven days of detoxification coverage and thirty days of rehabilitation services under all applicable insurance plans. The law amends specific sections of the insurance code to enforce these minimums, directly affecting health insurers and their policyholders seeking addiction treatment. The bill sets concrete coverage standards without altering broader insurance benefits or costs.
This bill prohibits hospitals and health insurance plans from unfairly denying medical staff privileges or network participation to healthcare providers. Specifically, it bans hospitals from refusing applications or denying privileges without valid reasons tied to patient care, and bars denying privileges based solely on a provider's licensure category or lack of current board certification (if they were previously board-certified). It also requires health plans and insurers to disclose application procedures, complete reviews within 60 days (with a 21-day extension for missing documents), and not reject previously board-certified physicians solely due to loss of certification. The law directly affects physicians, dentists, podiatrists, optometrists, and midwives seeking hospital staff roles or health plan network inclusion.
S 2655 requires health insurance plans to cover rehabilitation treatment for children diagnosed with pediatric acute-onset neuropsychiatric syndrome (PANS). Insurance companies must provide this coverage when a child's doctor certifies in writing that the treatment is medically necessary. The bill applies to all health insurance policies, including group plans, directly affecting families with children who have PANS and the insurance providers. It references an existing definition of PANS from New York's public health law to ensure consistent application.
Requires all policies that provide coverage for inpatient hospital care to include benefits for child and family treatment and support services and children's home and community based services.
This bill requires most health insurance plans in New York to cover medically tailored meals and nutrition therapy provided by certified dietitians, nutritionists, or doctors. It specifically applies to people diagnosed with chronic conditions like cancer, diabetes, or Alzheimer's disease, limiting coverage to 10 meals per week for up to three months per diagnosis. Insurance plans must pre-approve meal vendors and cover services without cost-sharing that is more restrictive than other chronic disease treatments. The law ensures coverage for these services as part of managing chronic conditions, without reducing existing benefits.
Requires health insurance policies and contracts shall provide coverage for the diagnosis and treatment of lymphedema, both primary and secondary lymphedema; requires such coverage shall include benefits for equipment, supplies, devices, complex decongestive therapy and out-patient self-management training and education for the treatment of lymphedema, both primary and secondary lymphedema.
This bill requires most employer-sponsored health insurance plans (large group policies) in New York to cover in vitro fertilization (IVF) treatments for infertility. Specifically, it mandates coverage for up to three cycles of IVF, removing prior restrictions that limited coverage. Plans may still apply standard cost-sharing like deductibles and co-pays, consistent with other medical benefits. The law directly affects employers offering large group health insurance and individuals covered under those plans, ensuring IVF becomes a standard benefit for infertility treatment.
This bill lowers the age for mandatory annual mammogram coverage under large group health insurance plans from 35 to 30 years old. It directly affects women aged 30-39 enrolled in large employer-sponsored health plans. The key change modifies insurance law to require annual mammograms for this age group in large plans (previously only for ages 35-39), though coverage remains subject to physician recommendation and medical necessity determination. This policy update applies to all large group health insurance policies issued or renewed after the effective date.
Requires coverage for colorectal cancer early detection beginning at age thirty-five; adds coverage for colorectal cancer early detection as a required coverage for individual policies; requires notification of colorectal early detection coverage to be provided to insured individuals beginning at age thirty-five.
Requires insurance policies to provide coverage for services related to the diagnosis and treatment of mental, nervous or emotional disorders or ailments; makes related provisions.
