New York Assembly Bill A01206

New York 2025-2026 Regular Session

• Introduced: 1/9/25
• Refer: 1/9/25

Caption

Requires certain health insurance policies to provide coverage for diabetes and prediabetes screening.

Impact

The enactment of A01206 would significantly impact state laws concerning health insurance coverage. By requiring insurers to provide free screenings for diabetes and prediabetes, the bill seeks to reduce the long-term health costs associated with these conditions. Additionally, it encourages early detection and intervention, which can lead to better health outcomes for many individuals. This legislation aligns with public health goals to combat the rising diabetes epidemic and promote healthier lifestyles among New Yorkers.

Summary

Bill A01206 is an important piece of legislation that amends the New York insurance law to mandate coverage for diabetes and prediabetes screening for individuals with a body mass index (BMI) of 23 or greater. This requirement applies to all health insurance policies that include provider services in a physician's office and major medical coverage. The bill aims to enhance access to critical preventative healthcare services, particularly for those at a higher risk of developing diabetes due to their weight. Furthermore, it eliminates any cost-sharing requirements, such as deductibles or copayments, for this specific coverage.

Contention

While there is considerable support for A01206, particularly among public health advocates who prioritize preventative healthcare, there are also points of contention. Critics may argue that such mandates could lead to increased premiums for all policyholders, as insurers might raise rates to offset the costs of the required screenings. Additionally, there are concerns regarding the BMI threshold, with some health professionals advocating for a more nuanced approach to defining eligibility for screenings that do not rely solely on weight metrics.