New York S 2655: Relates to insurance coverage for pediatric acute-onset neuropsychiatric syndrome

Bill Text

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S02655 Summary:

BILL NOS02655A

&nbsp

SAME ASSAME AS A09659

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SPONSORSTEC

&nbsp

COSPNSRGALLIVAN, GRIFFO, OBERACKER

&nbsp

MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L

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Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

Go to top S02655 Actions:

BILL NOS02655A

&nbsp

01/22/2025REFERRED TO INSURANCE

01/07/2026REFERRED TO INSURANCE

01/16/2026AMEND AND RECOMMIT TO INSURANCE

01/16/2026PRINT NUMBER 2655A

05/04/2026RECOMMIT, ENACTING CLAUSE STRICKEN

Go to topS02655 Committee&nbspVotes:

Go to topS02655 Floor&nbspVotes:

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

Go to topS02655 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 2655--A

 2025-2026 Regular Sessions

 IN SENATE

 January 22, 2025
 ___________

 Introduced by Sens. STEC, GALLIVAN, GRIFFO, OBERACKER -- read twice and
 ordered printed, and when printed to be committed to the Committee on
 Insurance -- recommitted to the Committee on Insurance in accordance
 with Senate Rule 6, sec. 8 -- committee discharged, bill amended,
 ordered reprinted as amended and recommitted to said committee

 AN ACT to amend the insurance law, in relation to requiring certain
 health insurance policies to cover costs for pediatric acute-onset
 neuropsychiatric syndrome

 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 42 to read as follows:
 3 (42)(A) Every health plan, and health insurance issuer offering health
 4 insurance coverage in connection with a group health plan, shall provide
 5 coverage for a participant or beneficiary who has pediatric acute-onset
 6 neuropsychiatric syndrome if the attending physician of the participant
 7 or beneficiary certifies in writing the medical necessity of that
 8 proposed course of rehabilitative treatment.
 9 (B) As used in this paragraph, the term "pediatric acute-onset neurop-
 10 sychiatric syndrome" shall have the same meaning as such term is used in
 11 paragraph (n) of subdivision one of section two hundred seven of the
 12 public health law.
 13 § 2. Subsection (k) of section 3221 of the insurance law is amended by
 14 adding a new paragraph 24 to read as follows:
 15 (24) (A) Every health plan, and health insurance issuer offering
 16 health insurance coverage in connection with a group health plan, shall
 17 provide coverage for a participant or beneficiary who has pediatric
 18 acute-onset neuropsychiatric syndrome if the attending physician of the
 19 participant or beneficiary certifies in writing the medical necessity of
 20 that proposed course of rehabilitative treatment.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD06726-03-6

 S. 2655--A 2

 1 (B) As used in this paragraph, the term "pediatric acute-onset neurop-
 2 sychiatric syndrome" shall have the same meaning as such term is used in
 3 paragraph (n) of subdivision one of section two hundred seven of the
 4 public health law.
 5 § 3. Section 4303 of the insurance law is amended by adding a new
 6 subsection (xx) to read as follows:
 7 (xx)(1) Every health plan, and health insurance issuer offering health
 8 insurance coverage in connection with a group health plan, shall provide
 9 coverage for a participant or beneficiary who has pediatric acute-onset
 10 neuropsychiatric syndrome if the attending physician of the participant
 11 or beneficiary certifies in writing the medical necessity of that
 12 proposed course of rehabilitative treatment.
 13 (2) As used in this subsection, the term "pediatric acute-onset
 14 neuropsychiatric syndrome" shall have the same meaning as such term is
 15 used in paragraph (n) of subdivision one of section two hundred seven of
 16 the public health law.
 17 § 4. This act shall take effect on the first of January next succeed-
 18 ing the date on which it shall have become a law and shall apply accord-
 19 ing to its terms to all policies, contracts and certificates issued,
 20 renewed, modified, altered or amended on or after such effective date.

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