Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
May 22, 2025 |
print number 5955a |
May 22, 2025 |
amend (t) and recommit to insurance |
Mar 04, 2025 |
referred to insurance |
Senate Bill S5955A
2025-2026 Legislative Session
Sponsored By
(D, WF) 21st Senate District
Current Bill Status - In Senate Committee Insurance Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Bill Amendments
co-Sponsors
(D) 14th Senate District
(D, WF) 56th Senate District
(D) 16th Senate District
(D, WF) 4th Senate District
2025-S5955 - Details
2025-S5955 - Sponsor Memo
BILL NUMBER: S5955 SPONSOR: PARKER TITLE OF BILL: An act to amend the insurance law, in relation to mandatory health insurance coverage for acupuncture services SUMMARY OF SPECIFIC PROVISIONS: Section 1: Subsection (i) of section 3216 of the insurance law is amended by adding a new paragraph 39. Section 2: Section 4343 of the insurance law is amended by adding a new subsection (uu). Section 3: This act shall take effect on the ninetieth day after it shall have become a law and shall apply to policies and contracts issued, renewed, modified, altered or amended on or after such effective date. JUSTIFICATION:
2025-S5955 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5955 2025-2026 Regular Sessions I N S E N A T E March 4, 2025 ___________ Introduced by Sens. PARKER, LIU, MARTINEZ, SCARCELLA-SPANTON -- read twice and ordered printed, and when printed to be committed 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. LBD00185-01-5
co-Sponsors
(D) 14th Senate District
(D, WF) 56th Senate District
(D) 16th Senate District
(D, WF) 4th Senate District
2025-S5955A (ACTIVE) - Details
2025-S5955A (ACTIVE) - Sponsor Memo
BILL NUMBER: S5955A SPONSOR: PARKER TITLE OF BILL: An act to amend the insurance law, in relation to health insurance coverage for acupuncture services SUMMARY OF SPECIFIC PROVISIONS: Section 1: Subsection (i) of section 3216 of the insurance law is amended by adding a new paragraph 39. Section 2: Section 4343 of the insurance law is amended by adding a new subsection (uu). Section 3: This act shall take effect on the ninetieth day after it shall have become a law and shall apply to policies and contracts issued, renewed, modified, altered or amended on or after such effective date. JUSTIFICATION:
2025-S5955A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5955--A 2025-2026 Regular Sessions I N S E N A T E March 4, 2025 ___________ Introduced by Sens. PARKER, COMRIE, COONEY, LIU, MARTINEZ, SCARCELLA-SPANTON -- read twice and ordered printed, and when printed to be committed 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 (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 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. LBD00185-06-5 S. 5955--A 2
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