New York A 3207: Relates to medical assistance coverage for medically tailored meals and medical nutrition therapy for the purpose of disease management

Bill Text

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A03207 Summary:

BILL NOA03207 

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SAME ASNo Same As

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SPONSORLunsford

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COSPNSR

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L

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Relates to medical assistance coverage for medically tailored meals and medical nutrition therapy for the purpose of chronic disease management.

Go to top A03207 Actions:

BILL NOA03207 

&nbsp

01/23/2025referred to insurance

01/07/2026referred to insurance

Go to topA03207 Committee&nbspVotes:

Go to topA03207 Floor&nbspVotes:

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

Go to topA03207 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 3207

 2025-2026 Regular Sessions

 IN ASSEMBLY

 January 23, 2025
 ___________

 Introduced by M. of A. LUNSFORD -- read once and referred to the Commit-
 tee on Insurance

 AN ACT to amend the insurance law, in relation to medical assistance
 coverage for medically tailored meals and medical nutrition therapy
 for the purpose of disease management

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

 1 Section 1. Subsection (i) of section 3216 of the insurance law is
 2 amended by adding a new paragraph 21-a to read as follows:
 3 (21-a) (A) For purposes of this paragraph:
 4 (i) "Medically tailored meals" and "medical nutrition therapy" means a
 5 nutritional assessment, nutritional therapy, and nutritional counseling
 6 provided by a certified dietician, certified nutritionist, or a medical
 7 doctor, including the provision of any food indicated by a nutritional
 8 assessment and the delivery of such food, ordered by a health care
 9 professional acting within such health care professional's lawful scope
 10 of practice pursuant to title eight of the education law, for the
 11 purpose of treating one or more chronic conditions that an individual is
 12 diagnosed with.
 13 (ii) "Chronic condition" means cancer, diabetes, Alzheimer's disease
 14 and other dementias.
 15 (iii) "Managed care product" means a policy which requires that
 16 medical or other health care services covered under the policy, other
 17 than emergency care services, be provided by, or pursuant to a referral
 18 from, a primary care provider, and that services provided pursuant to
 19 such a referral be rendered by a health care provider participating in
 20 the insurer's managed care provider network. In addition, a managed care
 21 product shall also mean the in-network portion of a contract which
 22 requires that medical or other health care services covered under the
 23 contract, other than emergency care services, be provided by, or pursu-
 24 ant to a referral from, a primary care provider, and that services

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD04408-01-5

 A. 3207 2

 1 provided pursuant to such a referral be rendered by a health care
 2 provider participating in the insurer's managed care provider network,
 3 in order for the insured to be entitled to the maximum reimbursement
 4 under the contract.
 5 (iv) "Medically tailored meal vendor" is a vendor that provides
 6 medically tailored meals according to the specifications in a
 7 prescription from a certified dietician, certified nutritionist, or a
 8 medical doctor.
 9 (B) Every policy which is a managed care product as defined in clause
 10 (iii) of subparagraph (A) of this paragraph that provides coverage for
 11 physician services in a physician's office, and every policy which is a
 12 managed care product that provides major medical or similar comprehen-
 13 sive-type coverage, shall include coverage for medically tailored meals
 14 and medical nutrition therapy as defined in clause (i) of subparagraph
 15 (A) of this paragraph, provided by a certified dietician or certified
 16 nutritionist licensed pursuant to section eight thousand four of the
 17 education law and pursuant to 8 NYCCR 52.5 and 8 NYCRR 79-6 or a medical
 18 doctor, in connection with the management or treatment of one or more
 19 chronic conditions.
 20 (C) Individual coverage is limited per medical diagnosis of one chron-
 21 ic condition. Covered individuals may receive coverage of a maximum of
 22 ten meals per week for a maximum duration of three months fr