New York Assembly Bill A05140 Latest Draft

   
  STATE OF NEW YORK ________________________________________________________________________ 5140 2025-2026 Regular Sessions  IN ASSEMBLY February 12, 2025 ___________ Introduced by M. of A. SOLAGES, GONZALEZ-ROJAS, WOERNER -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to requiring health insurance policies to include coverage for doula services as required coverage for maternity care The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Item (i) of subparagraph (A) of paragraph 10 of subsection 2 (i) of section 3216 of the insurance law, as amended by chapter 238 of 3 the laws of 2010, is amended to read as follows: 4 (i) Every policy which provides hospital, surgical or medical coverage 5 shall provide coverage for maternity care, including hospital, surgical 6 or medical care to the same extent that hospital, surgical or medical 7 coverage is provided for illness or disease under the policy. Such 8 maternity care coverage, other than coverage for perinatal compli- 9 cations, shall include inpatient hospital coverage for mother and for 10 newborn for at least forty-eight hours after childbirth for any delivery 11 other than a caesarean section, and for at least ninety-six hours after 12 a caesarean section. Such coverage for maternity care shall include the 13 services of a doula and the services of a midwife licensed pursuant to 14 article one hundred forty of the education law, practicing consistent 15 with section sixty-nine hundred fifty-one of the education law and 16 affiliated or practicing in conjunction with a facility licensed pursu- 17 ant to article twenty-eight of the public health law, but no insurer 18 shall be required to pay for duplicative routine services actually 19 provided by both a licensed midwife and a physician. 20 § 2. Item (i) of subparagraph (A) of paragraph 5 of subsection (k) of 21 section 3221 of the insurance law, as amended by chapter 238 of the laws 22 of 2010, is amended to read as follows: 23 (i) Every group or blanket policy delivered or issued for delivery in 24 this state which provides hospital, surgical or medical coverage shall EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09185-01-5 
 A. 5140 2 1 include coverage for maternity care, including hospital, surgical or 2 medical care to the same extent that coverage is provided for illness or 3 disease under the policy. Such maternity care coverage, other than 4 coverage for perinatal complications, shall include inpatient hospital 5 coverage for mother and newborn for at least forty-eight hours after 6 childbirth for any delivery other than a caesarean section, and for at 7 least ninety-six hours after a caesarean section. Such coverage for 8 maternity care shall include the services of a doula and the services of 9 a midwife licensed pursuant to article one hundred forty of the educa- 10 tion law, practicing consistent with section sixty-nine hundred fifty- 11 one of the education law and affiliated or practicing in conjunction 12 with a facility licensed pursuant to article twenty-eight of the public 13 health law, but no insurer shall be required to pay for duplicative 14 routine services actually provided by both a licensed midwife and a 15 physician. 16 § 3. Subparagraph (A) of paragraph 1 of subsection (c) of section 4303 17 of the insurance law, as amended by chapter 238 of the laws of 2010, is 18 amended to read as follows: 19 (A) Every contract issued by a corporation subject to the provisions 20 of this article which provides hospital service, medical expense indem- 21 nity or both shall provide coverage for maternity care including hospi- 22 tal, surgical or medical care to the same extent that hospital service, 23 medical expense indemnity or both are provided for illness or disease 24 under the contract. Such maternity care coverage, other than coverage 25 for perinatal complications, shall include inpatient hospital coverage 26 for mother and for newborn for at least forty-eight hours after child- 27 birth for any delivery other than a caesarean section, and for at least 28 ninety-six hours following a caesarean section. Such coverage for mater- 29 nity care shall include the services of a doula and the services of a 30 midwife licensed pursuant to article one hundred forty of the education 31 law, practicing consistent with section sixty-nine hundred fifty-one of 32 the education law and affiliated or practicing in conjunction with a 33 facility licensed pursuant to article twenty-eight of the public health 34 law, but no insurer shall be required to pay for duplicative routine 35 services actually provided by both a licensed midwife and a physician. 36 § 4. This act shall take effect on the one hundred eightieth day after 37 it shall have become a law and shall apply to all policies and contracts 38 issued, renewed, modified, altered or amended on or after such date. 39 Effective immediately the addition, amendment or repeal of any rule or 40 regulation necessary for the implementation of this act on its effective 41 date are authorized to be made and completed on or before such date.