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Bill > S03820


NY S03820

NY S03820
Requires health insurance policies include coverage for anesthesia for the entire duration of a procedure for which a licensed medical practitioner has issued an order for such anesthesia.


summary

Introduced
01/30/2025
In Committee
01/07/2026
Crossed Over
06/09/2025
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the insurance law, in relation to requiring health insurance policies include coverage for anesthesia for the duration of a medical procedure

AI Summary

This bill requires health insurance policies in New York State to provide comprehensive coverage for anesthesia services throughout the entire duration of a medical procedure, with specific detailed provisions. The bill mandates that insurers cover anesthesia as defined by the American Medical Association's current procedural terminology codes, and explicitly prohibits imposing time limits on anesthesia services. Anesthesia time is precisely defined as the period from when the anesthesia provider begins preparing the patient in the operating room until the patient can be safely placed under post-anesthesia care, which includes potential brief interruptions in continuous care. The bill specifies that payment for anesthesia services shall be calculated using standard medical billing practices, including base units plus time units (in intervals no longer than 15 minutes) multiplied by an agreed-upon conversion factor. The legislation applies to various types of health insurance policies, including individual, group, hospital service, and medical expense indemnity corporations, effectively standardizing anesthesia coverage across different insurance platforms in the state. By removing potential time restrictions on anesthesia services, the bill aims to ensure patients receive comprehensive and uninterrupted anesthesia care during medical procedures.

Committee Categories

Business and Industry

Sponsors (12)

Last Action

ADVANCED TO THIRD READING (on 02/05/2026)

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