A 1206: Requires certain health insurance policies to provide coverage for diabetes and prediabetes screening.

  
  STATE OF NEW YORK ________________________________________________________________________ 1206 2025-2026 Regular Sessions  IN ASSEMBLY January 9, 2025 ___________ Introduced by M. of A. KIM, GONZALEZ-ROJAS, REYES, SEAWRIGHT, EPSTEIN, RAGA, LEE -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to requiring certain health insurance policies to provide coverage for diabetes screening for people of Asian American or Pacific Island descent if they have a body mass index of 23 or greater The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subsection (i) of section 3216 of the insurance law is 2 amended by adding a new paragraph 15-b to read as follows: 3 (15-b) (A) Every policy which provides medical coverage that includes 4 coverage for physician services in a physician's office and every policy 5 which provides major medical or similar comprehensive-type coverage 6 shall include coverage for screening for diabetes and prediabetes for 7 persons of Asian American and Pacific Islander descent whose body mass 8 index is 23 KG/M2 or greater. 9 (B) A policy subject to this paragraph shall not impose a deductible, 10 co-insurance, co-payment, or any other cost-sharing requirement on such 11 coverage provided pursuant to this paragraph. 12 § 2. Subsection (k) of section 3221 of the insurance law is amended by 13 adding a new paragraph 7-a to read as follows: 14 (7-a) (A) Every group or blanket accident and health insurance policy 15 issued or issued for delivery in this state which provides medical 16 coverage that includes coverage for physician services in a physician's 17 office and every policy which provides major medical or similar compre- 18 hensive-type coverage shall include coverage for screening for diabetes 19 and prediabetes for persons of Asian American and Pacific Islander 20 descent whose body mass index is 23 KG/M2 or greater. 21 (B) A group or blanket policy subject to this paragraph shall not 22 impose a deductible, co-insurance, co-payment, or any other cost-sharing 23 requirement on such coverage provided pursuant to this paragraph. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD01888-01-5 
 A. 1206 2 1 § 3. Subsection (u-1) of section 4303 of the insurance law is renum- 2 bered subsection (u-2) and a new subsection (u-1) is added to read as 3 follows: 4 (u-1) (1) A medical expense indemnity corporation or a health service 5 corporation which provides medical coverage that includes coverage for 6 physician services in a physician's office and every policy which 7 provides major medical or similar comprehensive-type coverage shall 8 include coverage for screening for diabetes and prediabetes for persons 9 of Asian American and Pacific Islander descent whose body mass index is 10 23 KG/M2 or greater. 11 (2) A contract subject to this subsection shall not impose a deduct- 12 ible, coinsurance, copayment, or any other cost-sharing requirement on 13 such coverage provided pursuant to this subsection. 14 § 4. This act shall take effect immediately and shall apply to poli- 15 cies and contracts issued, renewed, modified, altered or amended on or 16 after such effective date.