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Bill > S00556


NY S00556

NY S00556
Requires that medicaid and health insurance plans provide coverage for costs of prescription smoking cessation treatment that is ordered by a physician; establishes a coverage limit for each covered individual.


summary

Introduced
01/08/2025
In Committee
01/07/2026
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the insurance law, in relation to coverage for treatment of smoking cessation

AI Summary

This bill requires health insurance providers, including hospital service corporations, health service corporations, and group or blanket policies in New York, to provide coverage for FDA-approved smoking cessation medications and physician-ordered counseling. Specifically, the bill mandates that insurers cover two quit attempts per year, with each attempt including 90 days of cessation medications and four counseling sessions, all without cost-sharing or prior authorization requirements. The coverage cannot replace or restrict existing policy benefits and may be subject to annual deductibles and co-insurance as determined by the insurance superintendent. The bill applies to policies issued, renewed, modified, altered, or amended 180 days after becoming law, with some exceptions for multi-state employment or collectively bargained benefit structures. By requiring this coverage, the bill aims to make smoking cessation treatment more accessible and affordable for individuals seeking to quit smoking, potentially improving public health outcomes by reducing barriers to treatment.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

REFERRED TO INSURANCE (on 01/07/2026)

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