New York A 6923: Requires health insurance plans to provide coverage for continuous blood glucose monitors for all children

Bill Text

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A06923 Summary:

BILL NOA06923A

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SAME ASSAME AS S08592-A

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SPONSORWeprin

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COSPNSRPheffer Amato, Shimsky, Griffin, Kassay

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L

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Requires health insurance plans to provide coverage for continuous blood glucose monitors for all children; requires coverage for glucose monitoring devices for all sugar disorders.

Go to top A06923 Actions:

BILL NOA06923A

&nbsp

03/18/2025referred to insurance

01/07/2026referred to insurance

02/04/2026amend and recommit to insurance

02/04/2026print number 6923a

Go to topA06923 Committee&nbspVotes:

Go to topA06923 Floor&nbspVotes:

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

Go to topA06923 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 6923--A

 2025-2026 Regular Sessions

 IN ASSEMBLY

 March 18, 2025
 ___________

 Introduced by M. of A. WEPRIN, PHEFFER AMATO -- 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 committee

 AN ACT to amend the insurance law, in relation to requiring health
 insurance plans to provide coverage for continuous blood glucose moni-
 tors for all children

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

 1 Section 1. Subparagraph (A) of paragraph 15-a of subsection (i) of
 2 section 3216 of the insurance law, as amended by chapter 338 of the laws
 3 of 2003, is amended to read as follows:
 4 (A) Every policy which provides medical coverage that includes cover-
 5 age for physician services in a physician's office and every policy
 6 which provides major medical or similar comprehensive-type coverage
 7 shall include coverage for the following equipment and supplies for the
 8 treatment of diabetes and other sugar disorders, if recommended or
 9 prescribed by a physician or other licensed health care provider legally
 10 authorized to prescribe under title eight of the education law, regard-
 11 less of the patient's age: blood glucose monitors and blood glucose
 12 monitors for the visually impaired, continuous blood glucose monitors,
 13 including but not limited to those covered by the state's preferred
 14 diabetic supply program, data management systems, test strips for
 15 glucose monitors and visual reading and urine testing strips, insulin,
 16 injection aids, cartridges for the visually impaired, syringes, insulin
 17 pumps and appurtenances thereto, insulin infusion devices, and oral
 18 agents for controlling blood sugar. In addition, the commissioner of the
 19 department of health shall provide and periodically update by rule or
 20 regulation a list of additional diabetes equipment and related supplies
 21 such as are medically necessary for the treatment of diabetes, for which

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD10846-02-6

 A. 6923--A 2

 1 there shall also be coverage. Such policies shall also include coverage
 2 for diabetes self-management education to ensure that persons with
 3 diabetes are educated as to the proper self-management and treatment of
 4 their diabetic condition, including information on proper diets. Such
 5 coverage for self-management education and education relating to diet
 6 shall be limited to visits medically necessary upon the diagnosis of
 7 diabetes, where a physician diagnoses a significant change in the
 8 patient's symptoms or conditions which necessitate changes in a
 9 patient's self-management, or where reeducation or refresher education
 10 is necessary. Such education may be provided by the physician or other
 11 licensed health care provider legally authorized to prescribe under
 12 title eight of the education law, or their staff, as part of an office
 13 visit for diabetes diagnosis or treatment, or by a certified diabetes
 14 nurse educator, certified nutritionist, certified dietitian or regis-
 15 tered dietitian upon the referral of a physician or other licensed
 16 health care provider legally authorized to prescribe under title eight
 17 of the education law. Education provid