New York Assembly Bill A03782 Latest Draft

   
  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 podiatry within the lawful 20 scope of podiatric care in hospital facilities on a staff or employee 21 basis. 22 § 4. This act shall take effect on the first of January next succeed- 23 ing the date on which it shall have become a law and shall apply to 24 policies and contracts issued, renewed, modified, altered or amended on 25 or after such effective date.