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NY S01470
Bill
Status
12/13/2024
Primary Sponsor
Neil Breslin
Click for details
AI Summary
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Prohibits insurers from charging higher copayments or coinsurance for physical therapy and occupational therapy services than for primary care physician office visits for the same or similar diagnosed conditions.
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Applies the copayment parity requirement to services provided by therapists licensed under Education Law Article 136 (physical therapists) and Article 156 (occupational therapists).
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Amends four sections of New York Insurance Law covering individual health insurance policies, HMO policies, and group health insurance plans to implement the copayment parity requirement.
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Preserves insurers' ability to enforce utilization review and the requirement that therapy services be performed pursuant to a medical order or physician referral.
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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
VETOED MEMO.94
12/13/2024