NY A08045

Requires comprehensive coverage for obesity treatment in Medicaid (Social Services Law § 365-a) and all medical/major medical insurance policies, including individual, group, and blanket policies

Coverage must include prevention and wellness, nutrition counseling, intensive behavioral therapy, bariatric surgery, and FDA-approved anti-obesity medications with indications for chronic weight management

Coverage criteria for FDA-approved anti-obesity medications cannot be more restrictive than FDA-approved indications for those treatments

Obesity coverage must be treated identically to other illnesses regarding deductibles, lifetime limits, copayments, coinsurance, and benefit year maximums

Insurers and the Department of Social Services must provide written notice to members about obesity coverage, prominently positioned in literature and communications, within the calendar year when annual information is distributed