Bill > S01737

This bill requires health insurance policies in New York to provide coverage for certain musculoskeletal disorders affecting the face, neck, or head, specifically those resulting from accidents, trauma, congenital defects, developmental defects, or pathology. The coverage must be equivalent to that provided for musculoskeletal disorders in other parts of the body and can be administered by either a physician or a dentist. The bill applies to individual, group, and blanket health insurance policies that include physician office services or major medical coverage. Importantly, the legislation does not mandate coverage for dental services primarily related to dental disorders affecting gums, teeth, or the alveolar ridge. Insurance providers may require a referral from a healthcare provider under contract with the policy. The bill will take effect on the first day of January following its enactment and will apply to all policies issued, renewed, altered, or modified on or after that date, ensuring comprehensive coverage for individuals with craniofacial musculoskeletal disorders.

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https://www.nysenate.gov/legislation/bills/2025/S1737