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NY A04211

Bill

Status

Introduced

1/31/2025

Primary Sponsor

Karines Reyes

Click for details

Origin

Assembly

2025-2026 General Assembly

AI Summary

  • Mandates comprehensive insurance coverage for obesity treatment including prevention and wellness services, nutrition counseling, intensive behavioral therapy, bariatric surgery, and FDA-approved anti-obesity medications

  • Defines FDA-approved anti-obesity medication as any drug approved by the FDA with an indication for chronic weight management in patients with obesity

  • Prohibits insurers from applying coverage criteria for anti-obesity medications that are more restrictive than FDA-approved indications

  • Requires obesity treatment coverage to have the same deductibles, copayments, coinsurance, and lifetime limits as coverage for any other illness or condition

  • Applies to individual policies, group/blanket policies, and Medicaid, with insurers required to provide written notice to members about the coverage

  • Takes effect 180 days after becoming law and applies to policies issued, delivered, renewed, or modified after that date

Legislative Description

Requires comprehensive coverage for treatment of obesity, including coverage for prevention and wellness, nutrition counseling, intensive behavioral therapy, bariatric surgery, and FDA-approved anti-obesity medication.

Last Action

referred to insurance

1/7/2026

Committee Referrals

Insurance1/31/2025

Full Bill Text

No bill text available