Bill > A03839

This bill amends the New York insurance law to require comprehensive reimbursement for vaccinations, ensuring that health care providers are fully compensated for all aspects of vaccine administration. Specifically, the bill mandates that insurance providers reimburse healthcare providers for the complete set of expenses related to vaccination, including the acquisition cost of the vaccine (based on the current or most recently reported CDC private sector cost), a minimum of 21% for shipping, handling, and storage costs, and the total cost of administration. This comprehensive reimbursement covers all associated expenses such as supplies, data entry, vaccine counseling, inventory management, and routine nursing activities, with administration costs calculated using the current year's Medicare rates published by the Centers for Medicare and Medicaid Services. The bill applies to a range of necessary immunizations, including vaccines for diphtheria, pertussis, tetanus, polio, measles, rubella, mumps, haemophilus influenzae type b, and hepatitis b, as well as other immunizations recommended by the Advisory Committee on Immunization Practices. The legislation will take effect on the first day of January following its passage and will apply to any insurance contracts entered into, delivered, amended, or modified on or after that date.

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https://www.nysenate.gov/legislation/bills/2025/A3839