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NY S05852
Bill
Status
3/4/2026
Primary Sponsor
James Skoufis
Click for details
AI Summary
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Requires health insurance policies to reimburse healthcare providers for vaccine acquisition costs based on the CDC private sector cost plus a minimum of 21% for shipping, handling, and storage
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Mandates reimbursement for the total cost of vaccine administration, including supplies, data entry, vaccine counseling, inventory management, and routine nursing activities
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Sets administration cost reimbursement rates based on current year Medicare rates as published by the Centers for Medicare and Medicaid Services
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Applies to individual policies (Section 3216), group policies (Section 3221), and HMO contracts (Section 4303) under New York Insurance Law
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Takes effect January 1 following enactment and applies to contracts entered into, delivered, amended, or modified on or after that date
Legislative Description
Requires insurance reimbursement for the total direct and indirect practice expenses associated with vaccinations.
Last Action
referred to insurance
3/4/2026