New York A 5255: Provides for coverage for the treatment of asthma

Bill Text

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A05255 Summary:

BILL NOA05255A

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SAME ASSAME AS S03100-A

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SPONSORReyes

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COSPNSRLupardo, Seawright, Simon, Forrest, Dinowitz, Zinerman, Meeks, Jackson, Davila

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MLTSPNSR

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Amd §365-a, Soc Serv L; amd §§3216, 3221 & 4303, Ins L

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Expands coverage for the treatment of asthma to include a second rescue and maintenance inhaler, along with any medically necessary devices for children under nineteen years of age.

Go to top A05255 Actions:

BILL NOA05255A

&nbsp

02/12/2025referred to insurance

01/07/2026referred to insurance

05/06/2026amend and recommit to insurance

05/06/2026print number 5255a

Go to topA05255 Committee&nbspVotes:

Go to topA05255 Floor&nbspVotes:

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

Go to topA05255 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5255--A

 2025-2026 Regular Sessions

 IN ASSEMBLY

 February 12, 2025
 ___________

 Introduced by M. of A. REYES, LUPARDO, SEAWRIGHT, SIMON, FORREST, DINOW-
 ITZ, ZINERMAN, MEEKS, JACKSON, DAVILA -- read once and referred to the
 Committee on Insurance -- recommitted to the Committee on Insurance in
 accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill
 amended, ordered reprinted as amended and recommitted to said commit-
 tee

 AN ACT to amend the social services law and the insurance law, in
 relation to coverage for the treatment of asthma

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

 1 Section 1. Paragraph (r) of subdivision 2 of section 365-a of the
 2 social services law, as added by section 32 of part C of chapter 58 of
 3 the laws of 2008, is amended to read as follows:
 4 (r) asthma self-management training services for persons or parents of
 5 persons diagnosed with asthma including information on proper use of
 6 devices such as spacers, valved holding chambers and masks, and triggers
 7 in the environment which should be avoided or managed, when such
 8 services are ordered by a physician, registered physician's assistant,
 9 registered nurse practitioner, or licensed midwife and provided by a
 10 licensed, registered, or certified health care professional, as deter-
 11 mined by the commissioner of health, who is certified as an asthma
 12 educator by the National Asthma Educator Certification Board, or a
 13 successor national certification board; provided, however, that the
 14 provisions of this paragraph shall not take effect unless all necessary
 15 approvals under federal law and regulation have been obtained to receive
 16 federal financial participation in the costs of health care services
 17 provided pursuant to this paragraph. Nothing in this paragraph shall be
 18 construed to modify any licensure, certification or scope of practice
 19 provision under title eight of the education law.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD04803-03-6

 A. 5255--A 2

 1 § 2. Subparagraph (B) of paragraph 41 of subsection (i) of section
 2 3216 of the insurance law, as added by chapter 504 of the laws of 2025,
 3 is amended to read as follows:
 4 (B) Coverage shall be provided for one form of rescue and one form of
 5 maintenance inhaler [that shall not be subject to a deductible, copay-
 6 ment, coinsurance or any other cost-sharing requirement]. Coverage for
 7 children under nineteen years of age shall also include a second rescue
 8 and maintenance inhaler, along with any medically necessary devices.
 9 Coverage shall also include any device deemed medically necessary for
 10 assisting in the administration of such medications, including but not
 11 limited to: spacers, valved holding chambers, or masks and other similar
 12 devices. None of these coverage requirements shall be subject to a
 13 deductible, copayment, coinsurance, or any other cost-sharing require-
 14 ment.
 15 § 3. Subparagraph (B) of paragraph 23 of subsection (l) of section
 16 3221 of the insurance law, as added by chapter 504 of the laws of 2025,
 17 is amended to read as follows:
 18 (B) Coverage shall be provided for one form of rescue and one form of
 19 maintenance inhaler [that shall not be subject to a deductible, copay-
 20 ment, coinsurance