S 634: Requires certain health insurance policies to provide coverage for diabetes and prediabetes screening.
The bill requires certain health insurance policies to provide coverage for diabetes screening for people with a body mass index (BMI) of 23 or greater. This includes policies that provide medical coverage for physician services in a physician's office and those that provide major medical or comprehensive-type coverage. The coverage must not impose a deductible, co-insurance, co-payment, or other cost-sharing requirements on the screening services. The bill applies to policies and contracts issued, renewed, modified, altered, or amended on or after its effective date.
| May. 12, 2026 | returned to senate |
| May. 12, 2026 | passed assembly |
| May. 04, 2026 | ordered to third reading cal.394 |
| May. 04, 2026 | substituted for a1206b |
| Feb. 24, 2026 | referred to insurance |
STATE OF NEW YORK ________________________________________________________________________ 634 2025-2026 Regular Sessions IN SENATE (Prefiled) January 8, 2025 ___________ Introduced by Sen. LIU -- read twice and ordered printed, and when printed to be committed 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. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD01888-01-5S. 634 2 1 (B) A group or blanket policy subject to this paragraph shall not 2 impose a deductible, co-insurance, co-payment, or any other cost-sharing 3 requirement on such coverage provided pursuant to this paragraph. 4 § 3. Subsection (u-1) of section 4303 of the insurance law is renum- 5 bered subsection (u-2) and a new subsection (u-1) is added to read as 6 follows: 7 (u-1) (1) A medical expense indemnity corporation or a health service 8 corporation which provides medical coverage that includes coverage for 9 physician services in a physician's office and every policy which 10 provides major medical or similar comprehensive-type coverage shall 11 include coverage for screening for diabetes and prediabetes for persons 12 of Asian American and Pacific Islander descent whose body mass index is 13 23 KG/M2 or greater. 14 (2) A contract subject to this subsection shall not impose a deduct- 15 ible, coinsurance, copayment, or any other cost-sharing requirement on 16 such coverage provided pursuant to this subsection. 17 § 4. This act shall take effect immediately and shall apply to poli- 18 cies and contracts issued, renewed, modified, altered or amended on or 19 after such effective date.