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NY A06345
Bill
Status
4/5/2023
Primary Sponsor
David Weprin
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AI Summary
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Requires insurers to cap copayments and coinsurance for physical therapy and occupational therapy services at the same level charged for primary care physician office visits for the same or similar diagnosed conditions.
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Applies to all health insurance policies including group accident and health insurance, health maintenance organizations, and dental plans under Articles 3216, 4235, 4301, and 4322 of the Insurance Law.
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Permits insurers to continue requiring medical orders or prescriptions for physical and occupational therapy services and to conduct utilization reviews.
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Takes effect 180 days after becoming law.
Legislative Description
Provides that no policy of group accident, group health or group accident and health shall impose copayments for physical or occupational therapy greater than the copay for similar services provided by a physician.
Last Action
substituted by s1470
6/7/2024