New York A 3782: Provides for increased podiatry care and benefits under accident and health insurance policies

Bill Text

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A03782 Summary:

BILL NOA03782 

&nbsp

SAME ASNo Same As

&nbsp

SPONSORWeprin (MS)

&nbsp

COSPNSR

&nbsp

MLTSPNSRColton

&nbsp

Amd §§3216, 3221 & 4303, Ins L

&nbsp

Provides for increased podiatry care and benefits under individual and group accident and health insurance policies and contracts within non-profit medical and dental indemnity, or health and hospital service corporations.

Go to top A03782 Actions:

BILL NOA03782 

&nbsp

01/30/2025referred to insurance

01/07/2026referred to insurance

Go to topA03782 Committee&nbspVotes:

Go to topA03782 Floor&nbspVotes:

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

Go to topA03782 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 3782

 2025-2026 Regular Sessions

 IN ASSEMBLY

 January 30, 2025
 ___________

 Introduced by M. of A. WEPRIN -- Multi-Sponsored by -- M. of A. COLTON
 -- read once and referred to the Committee on Insurance

 AN ACT to amend the insurance law, in relation to coverage and benefits
 of accident and health insurance policies for podiatric care

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

 1 Section 1. Paragraph 2 of subsection (i) of section 3216 of the insur-
 2 ance law is amended to read as follows:
 3 (2) If a policy provides for reimbursement for any podiatrical service
 4 within the lawful scope of practice of a licensed podiatrist, the
 5 insured shall be entitled to the same reimbursement for such service
 6 whether it is performed by a physician or licensed podiatrist.
 7 § 2. Subsection (k) of section 3221 of the insurance law is amended by
 8 adding a new paragraph 24 to read as follows:
 9 (24) Every policy which provides coverage for podiatric care, as
 10 defined in section seven thousand one of the education law, provided by
 11 a doctor of podiatry licensed pursuant to article one hundred forty-one
 12 of the education law, may be subject to reasonable deductible, co-pay-
 13 ment and co-insurance amounts, reasonable fee or benefit limits and
 14 reasonable utilization review, provided that any such amounts, limits
 15 and review: (A) shall not function to direct treatment in a manner
 16 discriminative against podiatric care; and (B) individually and collec-
 17 tively shall be no different than those applicable under that same poli-
 18 cy to care or services provided by other health professionals in the
 19 diagnosis, treatment and management of the same or similar conditions,
 20 disorders or injuries. Nothing in this paragraph shall be construed as
 21 impeding or preventing either the provision or coverage of podiatric
 22 care and services by duly licensed doctors of podiatry within the
 23 lawful scope of podiatric care in hospital facilities on a staff or
 24 employee basis.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD07185-01-5

 A. 3782 2

 1 § 3. Section 4303 of the insurance law is amended by adding a new
 2 subsection (ww) to read as follows:
 3 (ww) Every contract issued by a health service corporation or a
 4 medical expense indemnity corporation that includes coverage for physi-
 5 cian services in a physician's office, that provides major medical or
 6 similar comprehensive-type coverage, and coverage for podiatric care as
 7 defined in section seven thousand one of the education law, provided by
 8 a doctor of podiatry licensed pursuant to article one hundred forty-one
 9 of the education law, may be subject to reasonable deductible, co-pay-
 10 ment and co-insurance amounts, reasonable fee or benefit limits and
 11 reasonable utilization review, provided that any such amounts, limits
 12 and review: (1) shall not function to direct treatment in a manner
 13 discriminative against podiatric care; and (2) individually and collec-
 14 tively shall be no different than those applicable under the same policy
 15 to care or services provided by other health professionals in the diag-
 16 nosis, treatment and management of the same or similar conditions,
 17 disorders or injuries. Nothing in this subsection shall be construed as
 18 impeding or preventing either the provisions or coverage of podiatric
 19 care and services by duly licensed doctors of podia