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A00622 Summary:

BILL NOA00622B
 
SAME ASSAME AS S05955-A
 
SPONSORKim
 
COSPNSRColton, Epstein, Lucas, Reyes, Chang, Stern, Shimsky, Levenberg, Kay, Simone, Lavine, Rozic, Lee, Cunningham, Lunsford, Cruz, Raga, Steck, Weprin, Jacobson
 
MLTSPNSR
 
Amd §§3221 & 4303, Ins L
 
Relates to mandatory health insurance coverage for acupuncture services.
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A00622 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         622--B
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                       (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:
 
     1    Section 1. Subsection (l) of section 3221  of  the  insurance  law  is
     2  amended by adding a new paragraph 23 to read as follows:
     3    (23)  (A)  Every large group contract delivered or issued for delivery
     4  in this state which provides medical coverage that includes coverage for
     5  physician services  in  a  physician's  office  and  every  large  group
     6  contract    which provides   major medical or similar comprehensive-type
     7  coverage shall provide, upon the prescription of a health care  provider
     8  acting   within the provider's scope of practice pursuant to title eight
     9  of the education law, coverage for acupuncture treatment as  defined  in
    10  section eighty-two hundred eleven of the education law.
    11    (B)  Acupuncture  treatment  and services may be subject to reasonable
    12  deductible, co-payment and co-insurance amount, reasonable fee or  bene-
    13  fit limits, and reasonable utilization review.
    14    §  2.  Section  4303  of  the insurance law is amended by adding a new
    15  subsection (ww) to read as follows:
    16    (ww) (1)  Every large group contract delivered or issued for  delivery
    17  in this state which provides medical coverage that includes coverage for
    18  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.
                                                                   LBD00185-07-5

        A. 622--B                           2
 
     1  contract  which  provides  major  medical  or similar comprehensive-type
     2  coverage shall provide, upon the prescription of a health care  provider
     3  acting  within  the provider's scope of practice pursuant to title eight
     4  of  the  education law, coverage for acupuncture treatment as defined in
     5  section eighty-two hundred eleven of the education law.
     6    (2) Acupuncture treatment and services may be  subject  to  reasonable
     7  deductible,  co-payment and co-insurance amount, reasonable fee or bene-
     8  fit limits, and reasonable utilization review.
     9    § 3. This act shall take effect on the ninetieth day  after  it  shall
    10  have  become  a  law  and  shall apply to policies and contracts issued,
    11  renewed, modified, altered or amended on or after such effective date.
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