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
________________________________________________________________________
5955--B
2025-2026 Regular Sessions
IN SENATE
March 4, 2025
___________
Introduced by Sens. PARKER, CHAN, CLEARE, 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 -- recommitted to the Committee on Insurance in accordance
with Senate Rule 6, sec. 8 -- 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:
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:
16 (xx) (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
19 contract which provides major medical or similar comprehensive-type
20 coverage shall provide, upon the prescription of a health care provider
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD00185-09-6
S. 5955--B 2
1 acting within the provider's scope of practice pursuant to title eight
2 of the education law, coverage for acupuncture treatment as defined in
3 section eighty-two hundred eleven of the education law.
4 (2) Acupuncture treatment and services may be subject to reasonable
5 deductible, co-payment and co-insurance amount, reasonable fee or bene-
6 fit limits, and reasonable utilization review.
7 § 3. This act shall take effect on the ninetieth day after it shall
8 have become a law and shall apply to policies and contracts issued,
9 renewed, modified, altered or amended on or after such effective date.
