S T A T E O F N E W Y O R K
________________________________________________________________________
11524
I N A S S E M B L Y
May 28, 2026
___________
Introduced by COMMITTEE ON RULES -- (at request of M. of A. Hunter) --
read once and referred to the Committee on Health
AN ACT to amend the social services law, in relation to requiring the
fee schedule for appropriate current procedural terminology and
proprietary laboratory analysis codes be regularly updated for all
mandatory biomarker precision medical testing coverage
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph (mm) of subdivision 2 of section 365-a of the
social services law is amended by adding a new subparagraph (iii) to
read as follows:
(III) THE DEPARTMENT SHALL REGULARLY UPDATE THE FEE SCHEDULE FOR
SERVICES UNDER THIS PARAGRAPH INCLUDING, BUT NOT LIMITED TO, APPROPRIATE
CURRENT PROCEDURAL TERMINOLOGY AND PROPRIETARY LABORATORY ANALYSIS CODES
AND ESTABLISH PRICING FOR TESTING UNDER THIS PARAGRAPH.
§ 2. Within 60 days of the effective date of this act, the department
of health shall update the fee schedule for services under paragraph
(mm) of subdivision 2 of section 365-a of the social services law,
including, but not limited to, appropriate current procedural terminol-
ogy and proprietary laboratory analysis codes and shall establish pric-
ing for such any such coverage not included in such fee schedule.
§ 3. This act shall take effect immediately.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD15823-01-6
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