Bill > A00419

This bill requires insurance policies that provide physician services, medical, or comprehensive-type coverage to cover comprehensive neuropsychological examinations for dyslexia, but only when these examinations are performed by a healthcare professional licensed, certified, or authorized under title eight of the education law and acting within their professional scope of practice. The examinations must be performed upon the referral of a physician, and the bill amends existing insurance law to mandate this coverage across different types of insurance policies (including individual, group, and contract policies). The bill also clarifies that while insurers must provide this coverage, they retain the right to manage medical services through utilization reviews and can require that services be provided through a network of participating providers. Importantly, the bill removes previous language that specified the detailed purpose of these examinations (such as determining psychological, emotional, and educational wellness needs) and focuses more on establishing the basic coverage requirement. The legislation aims to ensure that individuals seeking diagnostic testing for dyslexia have access to comprehensive neuropsychological examinations through their insurance coverage.

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https://www.nysenate.gov/legislation/bills/2025/A419