Healthcare (Insurance)

in committee · New York · Senate Feb 24, 2026

S 1796: Includes services provided by certified recovery peer advocates and certain services provided at inpatient facilities as part of standard coverage

This bill (S 1796) requires health insurance plans to cover services provided by certified recovery peer advocates and specific inpatient treatment services for people with substance use disorders. It amends coverage rules to include these services when delivered through programs certified or authorized by the Office of Addiction Services and Supports. The key change ensures that peer advocacy support and inpatient care at certified facilities become part of standard insurance coverage, rather than requiring separate authorization. This directly affects individuals receiving substance use disorder treatment at approved facilities. The bill does not create new services but mandates their inclusion in existing coverage requirements.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for certified peer advocates and inpatient substance use disorder treatment, expanding access to mental health services per bill summary.95% confidence

Sub-Topics Insurance Mental Health Substance Abuse

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in committee · New York · Senate Jan 7, 2026

S 1623: Provides that written notice of premium rate changes be given not less than sixty days prior to the effective date of such rate changes

This bill requires health insurance companies to provide written notice to policyholders at least 60 days before implementing any change to premium rates for group health insurance policies. It directly affects individuals and businesses holding group health insurance policies by giving them advance notice of upcoming rate increases. The key provision mandates that insurers send this written notice 60 to 120 days prior to the effective date of the new rates. This change applies to both large and small group policyholders covered under the same policy type.

Topics ✓ HealthcareSupports HealthcareRequires insurers to notify policyholders 60 days before premium rate changes, protecting consumer rights and enabling informed decisions on healthcare costs.85% confidence

Sub-Topics Insurance

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in committee · New York · Senate Jan 8, 2025

S 965: Requires insurers to provide insurance coverage for rare diseases, life-threatening conditions or diseases, degenerative and disabling conditions, or diagnoses involving medically fragile children

Requires insurers to provide insurance coverage for treatment of rare diseases, life-threatening conditions or diseases, degenerative and disabling conditions, or diagnoses involving medically fragile children, by a provider of the patient's choice.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover rare, life-threatening, and disabling conditions, expanding patient access and strengthening insurance coverage for critical healthcare needs.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Jan 7, 2026

A 6128: Relates to covering mental illness under the healthy New York program

This bill (A 6128) requires health insurers and health coverage providers under New York's Healthy New York program to include coverage for the diagnosis and treatment of mental health conditions in existing policies. It directly affects insurers selling group or individual health insurance policies that cover hospital care or physician services. The key change amends insurance law to mandate that these policies explicitly cover mental health care, aligning it with other medical treatments. The bill takes effect immediately upon enactment.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover mental health diagnosis/treatment in existing policies, aligning with medical coverage standards per bill summary.95% confidence

Sub-Topics Hospitals Insurance Mental Health

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in committee · New York · Assembly Feb 5, 2025

A 2675: Relates to coverage for prenatal vitamins

This bill requires most health insurance plans covering medical care (including major medical and similar comprehensive policies) to cover prenatal vitamins when prescribed by a licensed healthcare provider under New York's Education Law. It applies specifically to plans that already cover prescription drugs, mandating coverage without requiring additional plan changes. The coverage may still include standard deductibles and coinsurance, consistent with other benefits in the policy. This directly affects pregnant individuals and their insurance providers by ensuring access to a common prenatal supplement through existing health coverage.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for prenatal vitamins, expanding access to essential maternal health services without increasing provider costs.95% confidence

Sub-Topics Insurance

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passed · New York · Senate May 28, 2026

S 1634: Provides for primary care investment

Requires health care plans and payors to have a minimum of twelve and one-half percent of their total expenditures on physical and mental health annually be for primary care services.

Topics ✓ HealthcareSupports HealthcareMandates 12.5% annual spending on primary care, directly funding and strengthening primary healthcare services as required by the bill.95% confidence

Sub-Topics Insurance Primary Care

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in committee · New York · Senate Jan 7, 2026

S 1282: Requires health insurance policies to offer full coverage for annual testing for ovarian cancer and requires certain health care providers offer annual testing for ovarian cancer

Requires health insurance policies to offer full coverage for annual testing for ovarian cancer; requires certain health care providers offer annual testing for ovarian cancer.

Topics ✓ HealthcareSupports HealthcareRequires full insurance coverage and mandates annual ovarian cancer testing, expanding patient access to preventive care services.95% confidence

Sub-Topics Insurance

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in committee · New York · Assembly Apr 24, 2026

A 6596: Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities and insurers; relates to coverage for treatment for gender dysphoria

Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities including hospitals, certain professionals, and insurers; requires insurance coverage for services or treatments for gender dysphoria or gender incongruence.

Topics ✓ HealthcareSupports HealthcareRequires Medicaid coverage for gender-affirming care and prohibits discrimination, expanding access to essential healthcare services for transgender patients.95% confidence

Sub-Topics Insurance Medicaid

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