New York A 7100: Requires the provision of additional insurance coverage for pre-term labor hospitalizations, monitoring and counseling

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A07100 Summary:

BILL NOA07100 

&nbsp

SAME ASNo Same As

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SPONSORBichotte Hermelyn

&nbsp

COSPNSRStirpe, Colton, Cruz, Jackson, Rosenthal, Reyes, Walker, Kelles, Levenberg, Seawright, Epstein,
 Hyndman, Simon, Lucas, Zaccaro, Septimo, Davila, Lunsford, Raga

&nbsp

MLTSPNSR

&nbsp

Amd §§3216, 3221 & 4303, Ins L

&nbsp

Requires insurance policies to provide coverage for pre-term labor hospitalizations, home visits to monitor pre-term labor patients and counseling.

Go to top A07100 Actions:

BILL NOA07100 

&nbsp

03/20/2025referred to insurance

01/07/2026referred to insurance

Go to topA07100 Committee&nbspVotes:

Go to topA07100 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA07100 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 7100

 2025-2026 Regular Sessions

 IN ASSEMBLY

 March 20, 2025
 ___________

 Introduced by M. of A. BICHOTTE HERMELYN, STIRPE, COLTON, CRUZ, JACKSON,
 ROSENTHAL, REYES, WALKER, KELLES, LEVENBERG, SEAWRIGHT, EPSTEIN, HYND-
 MAN, SIMON, LUCAS, ZACCARO, SEPTIMO, DAVILA, LUNSFORD, RAGA -- read
 once and referred to the Committee on Insurance

 AN ACT to amend the insurance law, in relation to requiring insurance
 policies to provide coverage for pre-term labor hospitalizations, home
 visits to monitor pre-term labor patients and counseling

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. Item (i) of subparagraph (A) of paragraph 10 of subsection
 2 (i) of section 3216 of the insurance law, as amended by chapter 238 of
 3 the laws of 2010, is amended and two new subparagraphs (C) and (D) are
 4 added to read as follows:
 5 (i) Every policy which provides hospital, surgical or medical coverage
 6 shall provide coverage for maternity care, including hospital, surgical
 7 or medical care to the same extent that hospital, surgical or medical
 8 coverage is provided for illness or disease under the policy. Such
 9 maternity care coverage, other than coverage for perinatal compli-
 10 cations, shall include inpatient hospital coverage for expectant mothers
 11 in pre-term labor, inpatient hospital coverage for mother and for
 12 newborn for at least forty-eight hours after childbirth for any delivery
 13 other than a caesarean section, and for at least ninety-six hours after
 14 a caesarean section. Such coverage for maternity care shall include the
 15 services of a midwife licensed pursuant to article one hundred forty of
 16 the education law, practicing consistent with section sixty-nine hundred
 17 fifty-one of the education law and affiliated or practicing in conjunc-
 18 tion with a facility licensed pursuant to article twenty-eight of the
 19 public health law, but no insurer shall be required to pay for duplica-
 20 tive routine services actually provided by both a licensed midwife and a
 21 physician.
 22 (C) Coverage provided under this subsection for care and treatment
 23 during pregnancy shall include provision for part-time or intermittent
 24 home nursing care by or under the supervision of a registered profes-
 25 sional nurse to monitor expectant mothers who have been diagnosed by a

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD10957-01-5

 A. 7100 2

 1 physician as having experienced pre-term labor, and for the adminis-
 2 tration of Makena (17-alpha hydroxyprogesterone) by such nurse. As used
 3 in this subsection, "pre-term labor" means the commencement of regular
 4 contractions of the uterus causing palpable changes in the cervix that
 5 start between twenty weeks and thirty-six weeks and six days of pregnan-
 6 cy, including, but not limited to, effacement and dilation.
 7 (D) Coverage provided under this subsection for care and treatment
 8 during pregnancy shall include provisions for visits with a physician,
 9 psychiatrist or psychologist or a licensed clinical social worker within
 10 the lawful scope of such person's practice who provides psychiatric or
 11 psychological services or for the diagnosis and treatment of mental,
 12 nervous or emotional disorders and ailments for assistance with
 13 emotional issues experienced by an expectant mother and the family of an
 14