Bill > S05852

This bill amends the New York insurance law to require comprehensive reimbursement for vaccination-related expenses across different types of health insurance plans. Specifically, the bill mandates that insurance providers reimburse healthcare providers not just for the vaccine itself, but for the entire process of vaccination, including acquisition costs, shipping and handling (at least 21% markup), and the total cost of administration. These administration costs cover supplies, data entry, vaccine counseling, inventory management, and routine nursing activities, with reimbursement rates based on the current year's Medicare rates published by the Centers for Medicare and Medicaid Services. The bill applies to both necessary immunizations determined by health superintendents and those recommended by the CDC's Advisory Committee on Immunization Practices. This includes vaccines for diseases such as diphtheria, pertussis, tetanus, polio, measles, rubella, mumps, haemophilus influenzae type b, and hepatitis b. The changes will take effect on the first day of January after the bill becomes law and will apply to any health insurance contracts entered into, delivered, amended, or modified on or after that date.

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https://www.nysenate.gov/legislation/bills/2025/S5852