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Assembly Bill A622B

2025-2026 Legislative Session

Relates to mandatory health insurance coverage for acupuncture services

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Bill Amendments

co-Sponsors

2025-A622 - Details

See Senate Version of this Bill:
S5955
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10322, S8011
2017-2018: A6103, S7636
2019-2020: A2925, S4560
2021-2022: A3165, S5071
2023-2024: A6913, S6038

2025-A622 - Summary

Relates to mandatory health insurance coverage for acupuncture services.

2025-A622 - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    622
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                                (PREFILED)
 
                              January 8, 2025
                                ___________
 
 Introduced  by M. of A. KIM, COLTON, EPSTEIN, LUCAS, REYES, CHANG, STERN
   -- read once and referred to the Committee on Insurance
 
 AN ACT to amend the insurance  law,  in  relation  to  mandatory  health
   insurance coverage for acupuncture services

   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 40 to read as follows:
   (40)  EVERY  POLICY  ISSUED  WITHIN THE HEALTH BENEFIT EXCHANGE ESTAB-
 LISHED PURSUANT TO SECTION 1311 OF THE AFFORDABLE CARE ACT, 42 U.S.C.  §
 18031,  SHALL  PROVIDE  COVERAGE FOR ACUPUNCTURE TREATMENT AS DEFINED IN
 SECTION EIGHT THOUSAND TWO HUNDRED ELEVEN OF THE EDUCATION LAW  PROVIDED
 BY  AN INDIVIDUAL LICENSED, AUTHORIZED, OR CERTIFIED PURSUANT TO ARTICLE
 ONE HUNDRED SIXTY OF THE EDUCATION LAW. HOWEVER,  ACUPUNCTURE  TREATMENT
 AND  SERVICES  MAY  BE  SUBJECT TO REASONABLE DEDUCTIBLE, CO-PAYMENT AND
 CO-INSURANCE AMOUNT, REASONABLE FEE OR BENEFIT  LIMITS,  AND  REASONABLE
 UTILIZATION  REVIEW,  PROVIDED  THAT  ANY SUCH AMOUNTS, LIMITS OR REVIEW
 SHALL BE NO GREATER THAN OTHER ESSENTIAL HEALTH BENEFITS COVERED BY  THE
 POLICY  AND  PROVIDED  FURTHER  THAT ANY SUCH AMOUNTS, LIMITS, OR REVIEW
 SHALL NOT FUNCTION  TO  DIRECT  TREATMENT  IN  A  MANNER  DISCRIMINATIVE
 AGAINST  ACUPUNCTURE  TREATMENT.  NOTHING  HEREIN  SHALL BE CONSTRUED AS
 IMPENDING OR PREVENTING EITHER THE PROVISION OR COVERAGE OF  ACUPUNCTURE
 TREATMENT  AND  SERVICES  BY  DULY  LICENSED OR CERTIFIED ACUPUNCTURIST,
 WITHIN THE LAWFUL SCOPE OF THE  PRACTICE  OF  ACUPUNCTURE,  IN  HOSPITAL
 FACILITIES ON A STAFF OR EMPLOYEE BASIS.
   §  2.  Section  4303  of  the insurance law is amended by adding a new
 subsection (ww) to read as follows:
   (WW) EVERY POLICY ISSUED WITHIN THE  HEALTH  BENEFIT  EXCHANGE  ESTAB-
 LISHED  PURSUANT TO SECTION 1311 OF THE AFFORDABLE CARE ACT, 42 U.S.C. §
 18031, SHALL PROVIDE COVERAGE FOR ACUPUNCTURE TREATMENT  AS  DEFINED  IN
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

co-Sponsors

2025-A622A - Details

See Senate Version of this Bill:
S5955
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10322, S8011
2017-2018: A6103, S7636
2019-2020: A2925, S4560
2021-2022: A3165, S5071
2023-2024: A6913, S6038

2025-A622A - Summary

Relates to mandatory health insurance coverage for acupuncture services.

2025-A622A - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  622--A
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                                (PREFILED)
 
                              January 8, 2025
                                ___________
 
 Introduced by M. of A. KIM, COLTON, EPSTEIN, LUCAS, REYES, CHANG, STERN,
   SHIMSKY, LEVENBERG, KAY, SIMONE, LAVINE, ROZIC, LEE, CUNNINGHAM, LUNS-
   FORD,  CRUZ, RAGA, STECK -- 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 health insurance
   coverage for acupuncture services
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subsection  (1)  of  section 3221 of the insurance law is
 amended by adding a new paragraph 23 to read as follows:
   (23) (A) EVERY LARGE GROUP CONTRACT DELIVERED OR ISSUED  FOR  DELIVERY
 IN THIS STATE WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES COVERAGE FOR
 PHYSICIAN  SERVICES  IN  A  PHYSICIAN'S  OFFICE  AND  EVERY  LARGE GROUP
 CONTRACT  WHICH PROVIDES   MAJOR MEDICAL OR  SIMILAR  COMPREHENSIVE-TYPE
 COVERAGE  SHALL PROVIDE, UPON THE PRESCRIPTION OF A HEALTH CARE PROVIDER
 ACTING  WITHIN THE PROVIDER'S SCOPE OF PRACTICE PURSUANT TO TITLE  EIGHT
 OF  THE  EDUCATION LAW, COVERAGE FOR ACUPUNCTURE TREATMENT AS DEFINED IN
 SECTION EIGHTY-TWO HUNDRED ELEVEN OF THE EDUCATION LAW.
   (B) ACUPUNCTURE TREATMENT AND SERVICES MAY BE  SUBJECT  TO  REASONABLE
 DEDUCTIBLE,  CO-PAYMENT AND CO-INSURANCE AMOUNT, REASONABLE FEE OR BENE-
 FIT LIMITS, AND REASONABLE UTILIZATION REVIEW.
   § 2. Section 4303 of the insurance law is  amended  by  adding  a  new
 subsection (ww) to read as follows:
   (WW)  (1)  EVERY LARGE GROUP CONTRACT DELIVERED OR ISSUED FOR DELIVERY
 IN THIS STATE WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES COVERAGE FOR
 PHYSICIAN SERVICES  IN  A  PHYSICIAN'S  OFFICE  AND  EVERY  LARGE  GROUP
 CONTRACT  WHICH  PROVIDES  MAJOR  MEDICAL  OR SIMILAR COMPREHENSIVE-TYPE
 COVERAGE SHALL PROVIDE, UPON THE PRESCRIPTION OF A HEALTH CARE  PROVIDER
 ACTING  WITHIN  THE PROVIDER'S SCOPE OF PRACTICE PURSUANT TO TITLE EIGHT
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

co-Sponsors

2025-A622B (ACTIVE) - Details

See Senate Version of this Bill:
S5955
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A10322, S8011
2017-2018: A6103, S7636
2019-2020: A2925, S4560
2021-2022: A3165, S5071
2023-2024: A6913, S6038

2025-A622B (ACTIVE) - Summary

Relates to mandatory health insurance coverage for acupuncture services.

2025-A622B (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  622--B
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                                (PREFILED)
 
                              January 8, 2025
                                ___________
 
 Introduced by M. of A. KIM, COLTON, EPSTEIN, LUCAS, REYES, CHANG, STERN,
   SHIMSKY, LEVENBERG, KAY, SIMONE, LAVINE, ROZIC, LEE, CUNNINGHAM, LUNS-
   FORD, CRUZ, RAGA, STECK, WEPRIN, JACOBSON -- read once and referred to
   the  Committee  on  Insurance  --  committee discharged, bill amended,
   ordered reprinted as amended and  recommitted  to  said  committee  --
   reported  and  referred  to  the Committee on Rules -- Rules Committee
   discharged, bill amended, ordered reprinted as amended and recommitted
   to the Committee on Rules
 
 AN ACT to amend the insurance  law,  in  relation  to  health  insurance
   coverage for acupuncture services
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subsection (l) of section 3221  of  the  insurance  law  is
 amended by adding a new paragraph 23 to read as follows:
   (23)  (A)  EVERY LARGE GROUP CONTRACT DELIVERED OR ISSUED FOR DELIVERY
 IN THIS STATE WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES COVERAGE FOR
 PHYSICIAN SERVICES  IN  A  PHYSICIAN'S  OFFICE  AND  EVERY  LARGE  GROUP
 CONTRACT    WHICH PROVIDES   MAJOR MEDICAL OR SIMILAR COMPREHENSIVE-TYPE
 COVERAGE SHALL PROVIDE, UPON THE PRESCRIPTION OF A HEALTH CARE  PROVIDER
 ACTING   WITHIN THE PROVIDER'S SCOPE OF PRACTICE PURSUANT TO TITLE EIGHT
 OF THE EDUCATION LAW, COVERAGE FOR ACUPUNCTURE TREATMENT AS  DEFINED  IN
 SECTION EIGHTY-TWO HUNDRED ELEVEN OF THE EDUCATION LAW.
   (B)  ACUPUNCTURE  TREATMENT  AND SERVICES MAY BE SUBJECT TO REASONABLE
 DEDUCTIBLE, CO-PAYMENT AND CO-INSURANCE AMOUNT, REASONABLE FEE OR  BENE-
 FIT LIMITS, AND REASONABLE UTILIZATION REVIEW.
   §  2.  Section  4303  of  the insurance law is amended by adding a new
 subsection (ww) to read as follows:
   (WW) (1)  EVERY LARGE GROUP CONTRACT DELIVERED OR ISSUED FOR  DELIVERY
 IN THIS STATE WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES COVERAGE FOR
 PHYSICIAN SERVICES  IN  A  PHYSICIAN'S  OFFICE  AND  EVERY  LARGE  GROUP
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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