New York A 5140: Relates to improper practices relating to staff membership or professional privileges of a physician and such physician's board certification

Bill Text

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A05140 Summary:

BILL NOA05140 

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SAME ASSAME AS S06494

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SPONSORSolages

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COSPNSRGonzalez-Rojas, Woerner, Taylor, Meeks, Cunningham

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L

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Requires health insurance policies to include coverage for doula services as required coverage for maternity care.

Go to top A05140 Actions:

BILL NOA05140 

&nbsp

02/12/2025referred to insurance

01/07/2026referred to insurance

Go to topA05140 Committee&nbspVotes:

Go to topA05140 Floor&nbspVotes:

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

Go to topA05140 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5140

 2025-2026 Regular Sessions

 IN ASSEMBLY

 February 12, 2025
 ___________

 Introduced by M. of A. SOLAGES, GONZALEZ-ROJAS, WOERNER -- read once and
 referred to the Committee on Insurance

 AN ACT to amend the insurance law, in relation to requiring health
 insurance policies to include coverage for doula services as required
 coverage for maternity care

 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 to read as follows:
 4 (i) Every policy which provides hospital, surgical or medical coverage
 5 shall provide coverage for maternity care, including hospital, surgical
 6 or medical care to the same extent that hospital, surgical or medical
 7 coverage is provided for illness or disease under the policy. Such
 8 maternity care coverage, other than coverage for perinatal compli-
 9 cations, shall include inpatient hospital coverage for mother and for
 10 newborn for at least forty-eight hours after childbirth for any delivery
 11 other than a caesarean section, and for at least ninety-six hours after
 12 a caesarean section. Such coverage for maternity care shall include the
 13 services of a doula and the services of a midwife licensed pursuant to
 14 article one hundred forty of the education law, practicing consistent
 15 with section sixty-nine hundred fifty-one of the education law and
 16 affiliated or practicing in conjunction with a facility licensed pursu-
 17 ant to article twenty-eight of the public health law, but no insurer
 18 shall be required to pay for duplicative routine services actually
 19 provided by both a licensed midwife and a physician.
 20 § 2. Item (i) of subparagraph (A) of paragraph 5 of subsection (k) of
 21 section 3221 of the insurance law, as amended by chapter 238 of the laws
 22 of 2010, is amended to read as follows:
 23 (i) Every group or blanket policy delivered or issued for delivery in
 24 this state which provides hospital, surgical or medical coverage shall

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD09185-01-5

 A. 5140 2

 1 include coverage for maternity care, including hospital, surgical or
 2 medical care to the same extent that coverage is provided for illness or
 3 disease under the policy. Such maternity care coverage, other than
 4 coverage for perinatal complications, shall include inpatient hospital
 5 coverage for mother and newborn for at least forty-eight hours after
 6 childbirth for any delivery other than a caesarean section, and for at
 7 least ninety-six hours after a caesarean section. Such coverage for
 8 maternity care shall include the services of a doula and the services of
 9 a midwife licensed pursuant to article one hundred forty of the educa-
 10 tion law, practicing consistent with section sixty-nine hundred fifty-
 11 one of the education law and affiliated or practicing in conjunction
 12 with a facility licensed pursuant to article twenty-eight of the public
 13 health law, but no insurer shall be required to pay for duplicative
 14 routine services actually provided by both a licensed midwife and a
 15 physician.
 16 § 3. Subparagraph (A) of paragraph 1 of subsection (c) of section 4303
 17 of the insurance law, as amended by chapter 238 of the laws of 2010, is
 18 amended to read as follows:
 19 (A) Every contract issued by a corporation subject to the provisions
 20 of this article which provi