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NY S00868
Bill
Status
1/8/2025
Primary Sponsor
Jamaal Bailey
Click for details
AI Summary
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Expands existing insurance law requiring coverage of enteral formulas to also include infant and baby formulas for home use when medically necessary and prescribed by a licensed health care provider
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Requires coverage for infant and baby formulas proven effective for treating conditions including inherited metabolic diseases, Crohn's Disease, gastroesophageal reflux, gastrointestinal motility disorders, severe food allergies, eosinophilic disorders, and impaired nutrient absorption
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Mandates minimum coverage of $3,000 per insured individual per calendar year or any continuous 12-month period for infant and baby formulas
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Applies to individual health insurance policies, group health insurance policies, and health maintenance organization contracts that provide prescription drug coverage
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Takes effect January 1 following enactment and applies to all policies issued, renewed, modified, altered, or amended after that date
Legislative Description
Requires certain health insurance policies to include coverage for the cost of certain infant and baby formulas.
Last Action
REFERRED TO INSURANCE
1/7/2026