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NY S04435
Bill
Status
3/23/2023
Primary Sponsor
Nathalia Fernandez
Click for details
AI Summary
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Permits insurers and health maintenance organizations to offer actuarially appropriate premium reductions or other superintendent-approved benefits to enrollees who participate in qualified wellness programs.
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Defines qualified wellness programs as risk management systems that promote physical and mental fitness, prevent or mitigate acute or chronic conditions, and minimize adverse health consequences due to lifestyle, with three core elements: education programs, behavioral practice encouragement, and progress monitoring.
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Expands the list of permissible wellness program activities under existing law to include employer health promotion assistance and incentives for preventive services such as mammography screening.
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Applies the new provisions to individual health insurance policies, group health insurance policies, and health maintenance organization contracts across multiple regulatory frameworks in New York insurance law.
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Takes effect 180 days after enactment, with immediate authorization for regulatory agencies to develop necessary rules and regulations.
Legislative Description
Authorizes health insurers and health maintenance organizations, subject to the approval of the superintendent of financial services, to provide actuarially appropriate reductions in health insurance premiums or other benefits or enhancements for an enrollee's or insured's participation in a qualified wellness program.
Last Action
referred to insurance
3/4/2024