Bill > A06484

This bill amends the New York State insurance law to regulate copayment and coinsurance amounts for physical and occupational therapy services. Specifically, the bill mandates that insurers cannot charge patients more than 25% higher copayments or coinsurance for services provided by licensed physical therapists (under article 136 of the education law) or occupational therapists (under article 156 of the education law) compared to the copayment or coinsurance for an office visit to a primary care physician or osteopath treating the same or a similar diagnosed condition. The legislation applies to various types of health insurance policies, including individual, group, and commercial plans, and aims to make physical and occupational therapy more accessible and affordable by limiting the potential financial burden on patients. The changes will take effect on January 1, 2027, giving insurers and healthcare providers time to adjust their policies and practices to comply with the new requirements.

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https://www.nysenate.gov/legislation/bills/2025/A6484