Healthcare (Insurance)

in committee · New York · Assembly May 28, 2026

A 11520: Relates to insurance coverage for endodontic services

Mandates insurance policies which cover restorative dental services to provide coverage for endodontic services including exams, imaging, root canals and post-treatment care.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for endodontic services, expanding access to essential dental care.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate May 15, 2026

S 10480: Provides for mandatory health insurance coverage for coronary artery calcium diagnostic testing

Provides for mandatory health insurance coverage for coronary artery calcium diagnostic testing upon the recommendation of a health care provider; makes related provisions.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for coronary artery calcium testing, expanding access to diagnostic services and strengthening healthcare provisions.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly May 4, 2026

A 11256: Requires health plan coverage to include certain generic drugs and biosimilars

Requires health plan coverage to include generic drugs and biosimilars where the wholesale acquisition cost of such generic drugs or biosimilars is lower than the brand drug's wholesale acquisition cost.

Topics ✓ HealthcareSupports HealthcareBill mandates coverage for lower-cost generic drugs and biosimilars, expanding access and reducing patient costs.95% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · New York · Senate May 15, 2026

S 10512: Authorizes payments to nonparticipating or nonpreferred providers of medical services

This bill requires health insurance companies to pay medical bills directly to doctors and clinics that are not part of their preferred networks, provided the provider has submitted a valid claim and assignment of benefits. Under the new rules, insurers must cover these services at negotiated rates or, if no agreement exists, at the provider's usual and customary charges as long as they are not excessive. The legislation also prohibits non-network providers from asking patients for upfront payments before the insurance company has processed and approved the claim. These changes are set to take effect on January 1, 2027, and will apply to any medical claims submitted after that date.

Topics ✓ HealthcareSupports HealthcareBill expands access by requiring insurers to pay non-network providers, protecting patient rights to choose their doctors.90% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Apr 8, 2026

A 10873: Relates to peripheral artery disease

This bill mandates that health insurance policies in the state cover treatment for peripheral artery disease, a condition affecting blood flow to the limbs. It specifically requires coverage for individuals with comprehensive medical plans and prescription drug benefits, including those held by medical expense indemnity corporations and health service corporations. The law applies to all policies issued, renewed, or modified on or after January 1, 2027, ensuring that new and existing contracts meet this requirement.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for peripheral artery disease treatment, expanding access and protecting patient rights.95% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · New York · Assembly May 1, 2026

A 11235: Relates to requiring insurers participating in the NY state of health marketplace to offer at least one dental plan for individuals age 65 and older

This bill requires insurance companies selling plans through New York's state health marketplace to provide at least one dental plan option for people aged 65 and older. The rule applies specifically to insurers offering Silver and Gold level health plans and mandates that the dental coverage be approved by the state's financial services department. The legislation includes a provision allowing the marketplace to ask insurers to offer additional benefit levels in the future. This change would directly impact seniors enrolled in state-subsidized health insurance who currently may not have access to dental coverage.

Topics ✓ HealthcareSupports HealthcareBill mandates insurers to offer dental plans for seniors, expanding coverage and improving patient access to essential health services.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Apr 20, 2026

S 9649: Enacts the "Give Kids a Chance - Carter and Ray's Law"; mandates health insurance coverage for congenital anomalies

Enacts the "Give Kids a Chance - Carter and Ray's Law" mandating health insurance coverage for congenital anomalies including certain reconstructive services, habilitative services, and inpatient and outpatient services.

Topics ✓ HealthcareSupports HealthcareBill mandates health insurance coverage for congenital anomalies, expanding access and protecting patient rights.95% confidence

Sub-Topics Insurance

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in committee · New York · Senate Apr 2, 2026

S 9709: Relates to requiring all insurance policies and medical assistance to provide coverage for medically necessary hearing aids for children under 16 years of age

Enacts "Isabella's law" to require all health insurance policies and medical assistance to provide insurance coverage for the cost of medically necessary hearing aids for children under the age of 16.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for medically necessary hearing aids for children, expanding access to essential healthcare services.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Apr 8, 2026

A 10904: Enacts the "small business health plan act"

Enacts the "small business health plan act" which provides small businesses opportunities to provide health insurance to owners and employees by exempting such insurance from certain requirements.

Topics ✓ HealthcareSupports HealthcareBill expands health coverage opportunities for small business owners and employees by exempting insurance from certain requirements.85% confidence

Sub-Topics Insurance Tags Small Business

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in committee · New York · Senate Apr 21, 2026

S 9992: Requires API to facilitate patient and provider access to health information for enrollees and contract providers

Requires insurance companies to establish and maintain API to facilitate patient and provider access to health information; includes patient access, provider directory and payer to payer exchange.

Topics ✓ HealthcareSupports HealthcareBill mandates APIs to improve patient and provider access to health information, directly enhancing healthcare accessibility and data sharing.90% confidence ✓ TechnologySupports TechnologyBill mandates API implementation to enhance data interoperability and patient access, strengthening digital infrastructure and technology integration in healthcare.85% confidence

Sub-Topics Insurance

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