This bill requires insurance companies to cover at least 90 days of rehabilitation services at a facility when a doctor prescribes it. It directly affects insured individuals needing rehabilitation by mandating this coverage duration in health insurance policies. Key provisions add specific language to insurance law, requiring coverage for 90 days of facility-based rehab with a doctor's referral, and apply to policies issued or renewed after the law takes effect. The requirement applies to new policies and renewals starting 90 days after enactment.
This bill (S 4123) ensures healthcare providers can continue using independent dispute resolution (IDR) to challenge payment rates from insurers. It directly affects doctors, hospitals, and other healthcare providers who are not contracted ("non-participating") with health insurance plans. The bill amends criteria that IDR entities must use when setting fair payment rates, requiring them to consider factors like provider qualifications, usual charges for similar services, regional rates for non-participating providers, and service complexity. These changes clarify how disputes over payment rates will be resolved, maintaining access to the IDR process.
Includes care and services provided by a child advocacy center licensed, certified, or otherwise authorized by the office of children and family services under standard coverage for Medicaid recipients.
Regulates the use of artificial intelligence in the provision of therapy or psychotherapy services by prohibiting the use of artificial intelligence to assist in providing supplementary support where the session is recorded or transcribed unless the patient is informed of the specific purpose of such use and consents of such use; establishes penalties for violations of such provisions; excludes religious counseling, peer-support, and self-help materials and educational resources from such provisions.
Enacts the "NYS health care tax reform act"; establishes a public goods and medicaid subsidy surcharge on insurance corporations; establishes a public goods and medicaid subsidy surcharge on business corporations; establishes a public goods and medicaid subsidy surcharge on pass-through entities; relates to filing fee surcharges; relates to revenues to be included in the health care reform act resources fund; establishes a public goods and medicaid surcharge on misclassified workers.
Requires parity in the mental and physical health treatment of the residents of New York state; provides that both mental and physical health "will be matters of public concern and provision therefor shall be made by the state and by such of its subdivisions".
This bill amends New York's Public Health Law to establish new standards for health care in correctional facilities. It defines "correctional health care facility" as any part of a prison or jail providing health services under correctional authority, and requires the health commissioner to create regulations for these facilities' operation, construction, and standards. The bill mandates annual reviews of health care policies in correctional settings - specifically for HIV, AIDS, hepatitis C, and COVID-19 care - to ensure they meet medical standards, with public notice and transparency about findings. These changes directly affect incarcerated individuals, correctional facilities, and health care providers operating within jails and prisons.
S 1351 creates a pilot program to control prescription drug costs by setting maximum prices ("referenced rates") based on the lowest prices for the same drugs in four Canadian provinces (Ontario, Quebec, British Columbia, and Alberta). It applies to state health programs and pharmacies purchasing drugs for state-funded health plans, requiring them to pay no more than the referenced rate for the five most expensive drugs identified by the state. Any savings generated from this pricing cap must be directly passed to consumers through reduced costs. The pilot runs for one year, with a report due to state leaders assessing its feasibility for broader expansion.
Requires that medicaid and health insurance plans provide coverage for costs of prescription smoking cessation treatment that is ordered by a physician; establishes a coverage limit for each covered individual.
This bill requires state medical assistance programs to cover medically tailored meals and medical nutrition therapy for people with chronic conditions. It directly affects individuals with limited daily living abilities who need specialized nutrition to manage illnesses like diabetes or heart disease, as ordered by healthcare providers. The law mandates coverage for nutritional assessments, counseling, and prescribed meals provided by certified dietitians or nutritionists. Implementation requires the health commissioner to adopt regulations within 180 days of the bill's enactment, with federal funding participation required for these services.
