Requires mandatory health insurance coverage for acupuncture services upon the prescription of a health care provider acting within the provider's scope of practice.
STATE OF NEW YORK
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622--C
Cal. No. 21
2025-2026 Regular Sessions
IN ASSEMBLY(Prefiled)
January 8, 2025
___________
Introduced by M. of A. KIM, COLTON, LUCAS, REYES, CHANG, STERN, SHIMSKY,
LEVENBERG, KAY, SIMONE, LAVINE, ROZIC, LEE, CUNNINGHAM, LUNSFORD,
CRUZ, RAGA, STECK, WEPRIN, JACOBSON, SANTABARBARA -- read once and
referred to the Committee on Insurance -- committee discharged, bill
amended, ordered reprinted as amended and recommitted to said commit-
tee -- reported and referred to the Committee on Rules -- Rules
Committee discharged, bill amended, ordered reprinted as amended and
recommitted to the Committee on Rules -- ordered to a third reading,
amended and ordered reprinted, retaining its place on the order of
third reading
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 24 to read as follows:
3 (24) (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 (xx) to read as follows:
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD00185-08-6
A. 622--C 2
1 (xx) (1) Every large group contract delivered or issued for delivery
2 in this state which provides medical coverage that includes coverage for
3 physician services in a physician's office and every large group
4 contract which provides major medical or similar comprehensive-type
5 coverage shall provide, upon the prescription of a health care provider
6 acting within the provider's scope of practice pursuant to title eight
7 of the education law, coverage for acupuncture treatment as defined in
8 section eighty-two hundred eleven of the education law.
9 (2) Acupuncture treatment and services may be subject to reasonable
10 deductible, co-payment and co-insurance amount, reasonable fee or bene-
11 fit limits, and reasonable utilization review.
12 § 3. This act shall take effect on the ninetieth day after it shall
13 have become a law and shall apply to policies and contracts issued,
14 renewed, modified, altered or amended on or after such effective date.
