New York A 7304: Relates to the license requirements for the practice of respiratory therapy

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A07304 Summary:

BILL NOA07304 

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SAME ASNo Same As

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SPONSORRosenthal

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COSPNSR

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L

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Prohibits private insurers from charging co-payments for an annual pediatric eye exam completed by an optometrist or ophthalmologist.

Go to top A07304 Actions:

BILL NOA07304 

&nbsp

03/25/2025referred to insurance

01/07/2026referred to insurance

Go to topA07304 Committee&nbspVotes:

Go to topA07304 Floor&nbspVotes:

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

Go to topA07304 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 7304

 2025-2026 Regular Sessions

 IN ASSEMBLY

 March 25, 2025
 ___________

 Introduced by M. of A. ROSENTHAL -- read once and referred to the
 Committee on Insurance

 AN ACT to amend the insurance law, in relation to prohibiting private
 insurers from charging co-payments for an annual pediatric eye exam
 completed by an optometrist or ophthalmologist

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

 1 Section 1. Subparagraphs (B) and (C) of paragraph 17 of subsection (i)
 2 of section 3216 of the insurance law, as amended by chapter 219 of the
 3 laws of 2011, are amended to read as follows:
 4 (B) For the purposes of subparagraphs (A), (C) and (D) of this para-
 5 graph, preventive and primary care services means the following services
 6 rendered to a covered child of an insured from the date of birth through
 7 the attainment of nineteen years;
 8 (i) an initial hospital check-up and well-child visits scheduled in
 9 accordance with the prevailing clinical standards of a national associ-
 10 ation of pediatric physicians designated by the commissioner of health
 11 (except for any standard that would limit the specialty or forum of
 12 licensure of the practitioner providing the service other than the
 13 limits under state law). Coverage for such services rendered shall be
 14 provided only to the extent that such services are provided by or under
 15 the supervision of a physician, or other professional licensed under
 16 article one hundred thirty-nine of the education law whose scope of
 17 practice pursuant to such law includes the authority to provide the
 18 specified services. Coverage shall be provided for such services
 19 rendered in a hospital, as defined in section twenty-eight hundred one
 20 of the public health law, or in an office of a physician or other
 21 professional licensed under article one hundred thirty-nine of the
 22 education law whose scope of practice pursuant to such law includes the
 23 authority to provide the specified services;
 24 (ii) at each visit, services in accordance with the prevailing clin-
 25 ical standards of such designated association, including a medical
 26 history, a complete physical examination, developmental assessment,
 27 anticipatory guidance, appropriate immunizations and laboratory tests

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD11258-01-5

 A. 7304 2

 1 which tests are ordered at the time of the visit and performed in the
 2 practitioner's office, as authorized by law, or in a clinical laborato-
 3 ry; [and]
 4 (iii) necessary immunizations, as determined by the superintendent in
 5 consultation with the commissioner of health, consisting of at least
 6 adequate dosages of vaccine against diphtheria, pertussis, tetanus,
 7 polio, measles, rubella, mumps, haemophilus influenzae type b and hepa-
 8 titis b, which meet the standards approved by the United States public
 9 health service for such biological products[.]; and
 10 (iv) a pediatric eye examination by an optometrist or ophthalmologist
 11 once every calendar year, regardless of whether or not a period of three
 12 hundred sixty-five days has passed since the previous examination.
 13 (C) Such coverage required pursuant to subparagraph (A) or (B) of this
 14 paragraph shall not be subject to annual deductibles or coinsurance.
 15 Coverage required pursuant to clause (iv) of subparagraph (B) of this
 16 paragraph shall not be subject to a co-payment.
 17 § 2. Subparagraphs (B) and (C) of paragraph 8 of subsection (l) of
 18 section 3221 of the insurance l