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Assembly Bill A1206B

2025-2026 Legislative Session

Requires certain health insurance policies to provide coverage for diabetes and prediabetes screening

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Bill Amendments

co-Sponsors

2025-A1206 - Details

See Senate Version of this Bill:
S634
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2023-2024 Legislative Session:
A9941, S9372

2025-A1206 - Summary

Requires certain health insurance policies to provide coverage for diabetes and prediabetes screening.

2025-A1206 - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1206
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              January 9, 2025
                                ___________
 
 Introduced  by  M. of A. KIM, GONZALEZ-ROJAS, REYES, SEAWRIGHT, EPSTEIN,
   RAGA, LEE -- read once and referred to the Committee on Insurance
 
 AN ACT to amend the insurance law,  in  relation  to  requiring  certain
   health  insurance  policies to provide coverage for diabetes screening
   for people of Asian American or Pacific Island descent if they have  a
   body mass index of 23 or greater
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
 amended by adding a new paragraph 15-b to read as follows:
   (15-B)  (A) EVERY POLICY WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES
 COVERAGE FOR PHYSICIAN SERVICES IN A PHYSICIAN'S OFFICE AND EVERY POLICY
 WHICH PROVIDES MAJOR  MEDICAL  OR  SIMILAR  COMPREHENSIVE-TYPE  COVERAGE
 SHALL  INCLUDE  COVERAGE  FOR SCREENING FOR DIABETES AND PREDIABETES FOR
 PERSONS OF ASIAN AMERICAN AND PACIFIC ISLANDER DESCENT WHOSE  BODY  MASS
 INDEX IS 23 KG/M2 OR GREATER.
   (B)  A POLICY SUBJECT TO THIS PARAGRAPH SHALL NOT IMPOSE A DEDUCTIBLE,
 CO-INSURANCE, CO-PAYMENT, OR ANY OTHER COST-SHARING REQUIREMENT ON  SUCH
 COVERAGE PROVIDED PURSUANT TO THIS PARAGRAPH.
   § 2. Subsection (k) of section 3221 of the insurance law is amended by
 adding a new paragraph 7-a to read as follows:
   (7-A)  (A) EVERY GROUP OR BLANKET ACCIDENT AND HEALTH INSURANCE POLICY
 ISSUED OR ISSUED FOR DELIVERY  IN  THIS  STATE  WHICH  PROVIDES  MEDICAL
 COVERAGE  THAT INCLUDES COVERAGE FOR PHYSICIAN SERVICES IN A PHYSICIAN'S
 OFFICE AND EVERY POLICY WHICH PROVIDES MAJOR MEDICAL OR SIMILAR  COMPRE-
 HENSIVE-TYPE  COVERAGE SHALL INCLUDE COVERAGE FOR SCREENING FOR DIABETES
 AND PREDIABETES FOR PERSONS  OF  ASIAN  AMERICAN  AND  PACIFIC  ISLANDER
 DESCENT WHOSE BODY MASS INDEX IS 23 KG/M2 OR GREATER.
   (B)  A  GROUP  OR  BLANKET  POLICY SUBJECT TO THIS PARAGRAPH SHALL NOT
 IMPOSE A DEDUCTIBLE, CO-INSURANCE, CO-PAYMENT, OR ANY OTHER COST-SHARING
 REQUIREMENT ON SUCH COVERAGE PROVIDED PURSUANT TO THIS PARAGRAPH.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01888-01-5

co-Sponsors

2025-A1206A - Details

See Senate Version of this Bill:
S634
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2023-2024 Legislative Session:
A9941, S9372

2025-A1206A - Summary

Requires certain health insurance policies to provide coverage for diabetes and prediabetes screening.

2025-A1206A - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  1206--A
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              January 9, 2025
                                ___________
 
 Introduced  by  M. of A. KIM, GONZALEZ-ROJAS, REYES, SEAWRIGHT, EPSTEIN,
   RAGA, LEE -- read once and referred to the Committee on  Insurance  --
   committee  discharged,  bill amended, ordered reprinted as amended and
   recommitted to said committee
 
 AN ACT to amend the insurance law,  in  relation  to  requiring  certain
   health  insurance  policies to provide coverage for diabetes screening
   for people having a body mass index of 23 or greater
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subsection  (i)  of  section 3216 of the insurance law is
 amended by adding a new paragraph 15-b to read as follows:
   (15-B) (A) EVERY POLICY WHICH PROVIDES MEDICAL COVERAGE THAT  INCLUDES
 COVERAGE FOR PHYSICIAN SERVICES IN A PHYSICIAN'S OFFICE AND EVERY POLICY
 WHICH  PROVIDES  MAJOR  MEDICAL  OR  SIMILAR COMPREHENSIVE-TYPE COVERAGE
 SHALL INCLUDE COVERAGE FOR SCREENING FOR DIABETES  AND  PREDIABETES  FOR
 PERSONS WHOSE BODY MASS INDEX IS 23 KG/M2 OR GREATER.
   (B)  A POLICY SUBJECT TO THIS PARAGRAPH SHALL NOT IMPOSE A DEDUCTIBLE,
 CO-INSURANCE, CO-PAYMENT, OR ANY OTHER COST-SHARING REQUIREMENT ON  SUCH
 COVERAGE PROVIDED PURSUANT TO THIS PARAGRAPH.
   § 2. Subsection (k) of section 3221 of the insurance law is amended by
 adding a new paragraph 7-a to read as follows:
   (7-A)  (A) EVERY GROUP OR BLANKET ACCIDENT AND HEALTH INSURANCE POLICY
 ISSUED OR ISSUED FOR DELIVERY  IN  THIS  STATE  WHICH  PROVIDES  MEDICAL
 COVERAGE  THAT INCLUDES COVERAGE FOR PHYSICIAN SERVICES IN A PHYSICIAN'S
 OFFICE AND EVERY POLICY WHICH PROVIDES MAJOR MEDICAL OR SIMILAR  COMPRE-
 HENSIVE-TYPE  COVERAGE SHALL INCLUDE COVERAGE FOR SCREENING FOR DIABETES
 AND PREDIABETES FOR PERSONS WHOSE BODY MASS INDEX IS 23 KG/M2 OR  GREAT-
 ER.
   (B)  A  GROUP  OR  BLANKET  POLICY SUBJECT TO THIS PARAGRAPH SHALL NOT
 IMPOSE A DEDUCTIBLE, CO-INSURANCE, CO-PAYMENT, OR ANY OTHER COST-SHARING
 REQUIREMENT ON SUCH COVERAGE PROVIDED PURSUANT TO THIS PARAGRAPH.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01888-03-5

co-Sponsors

2025-A1206B (ACTIVE) - Details

See Senate Version of this Bill:
S634
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2023-2024 Legislative Session:
A9941, S9372

2025-A1206B (ACTIVE) - Summary

Requires certain health insurance policies to provide coverage for diabetes and prediabetes screening.

2025-A1206B (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  1206--B
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              January 9, 2025
                                ___________
 
 Introduced  by  M. of A. KIM, GONZALEZ-ROJAS, REYES, SEAWRIGHT, EPSTEIN,
   RAGA, LEE -- read once and referred to the Committee on  Insurance  --
   committee  discharged,  bill amended, ordered reprinted as amended and
   recommitted to said committee -- again reported  from  said  committee
   with  amendments, ordered reprinted as amended and recommitted to said
   committee
 
 AN ACT to amend the insurance law,  in  relation  to  requiring  certain
   health insurance policies to provide coverage for diabetes and predia-
   betes screening
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
 amended by adding a new paragraph 15-b to read as follows:
   (15-B)  (A) EVERY POLICY WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES
 COVERAGE FOR PHYSICIAN SERVICES IN A PHYSICIAN'S OFFICE AND EVERY POLICY
 WHICH PROVIDES MAJOR  MEDICAL  OR  SIMILAR  COMPREHENSIVE-TYPE  COVERAGE
 SHALL INCLUDE COVERAGE FOR SCREENING FOR DIABETES AND PREDIABETES PURSU-
 ANT TO A NATIONAL EVIDENCE-BASED PRACTICE GUIDELINE.
   (B)  A POLICY SUBJECT TO THIS PARAGRAPH SHALL NOT IMPOSE A DEDUCTIBLE,
 CO-INSURANCE, CO-PAYMENT, OR ANY OTHER COST-SHARING REQUIREMENT ON  SUCH
 COVERAGE PROVIDED PURSUANT TO THIS PARAGRAPH.
   § 2. Subsection (k) of section 3221 of the insurance law is amended by
 adding a new paragraph 7-a to read as follows:
   (7-A)  (A) EVERY GROUP OR BLANKET ACCIDENT AND HEALTH INSURANCE POLICY
 ISSUED OR ISSUED FOR DELIVERY  IN  THIS  STATE  WHICH  PROVIDES  MEDICAL
 COVERAGE  THAT INCLUDES COVERAGE FOR PHYSICIAN SERVICES IN A PHYSICIAN'S
 OFFICE AND EVERY POLICY WHICH PROVIDES MAJOR MEDICAL OR SIMILAR  COMPRE-
 HENSIVE-TYPE  COVERAGE SHALL INCLUDE COVERAGE FOR SCREENING FOR DIABETES
 AND PREDIABETES PURSUANT TO A NATIONAL  EVIDENCE-BASED  PRACTICE  GUIDE-
 LINE.

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD01888-05-5
 A. 1206--B                          2

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