This bill establishes a program offering standardized health insurance contracts to qualifying small dental employers and small employers meeting specific criteria. It defines "qualifying small dental employers" as those with up to 50 employees, including at least one dentist providing 10+ monthly Medicaid-covered visits and two licensed dental hygienists. Employers must certify annually they meet requirements (e.g., ≤50 employees, no prior group coverage, 30% of employees earning ≤$30,000 adjusted annually) and insurers must provide uniform benefit packages without changes. The program aims to make affordable coverage available year-round, with preference for employers serving lower-wage workers or higher Medicaid patient volumes.
Enacts the "health insurance preauthorization disclosure act"; requires health insurance companies to provide participating health care providers with a list of health care treatments and services that require preauthorization from the health insurance company.
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.
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.
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.
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.
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.
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.
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.
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.
