Bill > S03104

This bill requires comprehensive health insurance coverage for obesity treatment, mandating that insurance policies include prevention, wellness, nutrition counseling, intensive behavioral therapy, bariatric surgery, and FDA-approved anti-obesity medications. The bill amends multiple sections of New York's social services and insurance laws to ensure that obesity treatment is covered on par with other medical conditions, meaning insurers cannot impose different or more restrictive deductibles, copayments, or lifetime dollar limits. "FDA-approved anti-obesity medication" is specifically defined as medications approved by the Food and Drug Administration for chronic weight management in patients with obesity. The bill also requires insurers to provide written notice to members about this new coverage and allows for standard utilization management to determine medical necessity, but stipulates that such determinations must be made in the same manner as for other medical conditions. The new requirements will apply to policies issued, delivered, renewed, or modified 180 days after the bill becomes law, effectively giving insurers time to adjust their coverage policies to comply with the new mandates.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S3104