New York 2025-2026 Regular Session

New York Assembly Bill A04262

Introduced
1/31/25  
Refer
1/31/25  

Caption

Enacts the Health Care Nondiscrimination Act; requires insurance coverage and health plans to implement equality and non-discrimination between licensed health care providers; requires fee parity between different classes of licensed providers providing the similar or like-kind services; requires practitioners to discuss and refer or prescribe non-pharmacological treatment alternatives before prescribing an opioid treatment; allows any licensed health care provider to perform certain services, including certifying disability and employment by school districts; provides for enforcement and penalties.

Summary

The Health Care Nondiscrimination Act of 2025 aims to enhance access to nonpharmacological healthcare services in New York by prohibiting discrimination against licensed healthcare providers in terms of reimbursement and payment for services. The bill mandates that health insurance plans provide equal coverage for services rendered by licensed healthcare providers, ensuring that patients have the freedom to choose their healthcare providers without facing financial penalties or barriers. Additionally, it requires healthcare practitioners to discuss non-pharmacological treatment options with patients before prescribing opioids, promoting alternatives to combat the opioid crisis.

Impact

This legislation will significantly impact state laws by establishing a framework that enforces equality among licensed healthcare providers, particularly those offering nonpharmacological treatments. It will require health insurance providers to revise their policies to comply with the new non-discrimination standards and fee parity requirements. The bill also empowers state departments to impose fines on insurers that fail to comply, thereby enhancing consumer protection and access to diverse healthcare options.

Sentiment

The sentiment around the bill appears to be generally supportive, as it addresses longstanding issues of discrimination in healthcare access and promotes public health initiatives. However, there may be concerns from insurance companies regarding the financial implications of implementing these changes, which could lead to debates during discussions and potential amendments to the bill.

Contention

Notable points of contention may arise from insurance providers who could argue that the implementation of fee parity and non-discrimination policies may lead to increased costs for them. Additionally, there may be differing opinions on the extent to which nonpharmacological treatments should be promoted over traditional medical practices, particularly among healthcare providers who may feel threatened by the shift in focus.

Companion Bills

NY S05204

Same As Enacts the Health Care Nondiscrimination Act; requires insurance coverage and health plans to implement equality and non-discrimination between licensed health care providers; requires fee parity between different classes of licensed providers providing the similar or like-kind services; requires practitioners to discuss and refer or prescribe non-pharmacological treatment alternatives before prescribing an opioid treatment; allows any licensed health care provider to perform certain services, including certifying disability and employment by school districts; provides for enforcement and penalties.

Previously Filed As

NY S05204

Enacts the Health Care Nondiscrimination Act; requires insurance coverage and health plans to implement equality and non-discrimination between licensed health care providers; requires fee parity between different classes of licensed providers providing the similar or like-kind services; requires practitioners to discuss and refer or prescribe non-pharmacological treatment alternatives before prescribing an opioid treatment; allows any licensed health care provider to perform certain services, including certifying disability and employment by school districts; provides for enforcement and penalties.

NY A09103

Enacts the "health insurance preauthorization disclosure act"; requires health insurance companies to provide participating health care providers with a list of health care treatments and services that require preauthorization from the health insurance company.

MN HF1647

Immunity from criminal liability provided for health care providers when performing health treatment and services.

NY A01921

Provides outpatient insurance coverage for non-pharmacological treatments and non-opioid drugs for chronic pain.

NY S03185

Provides outpatient insurance coverage for non-pharmacological treatments and non-opioid drugs for chronic pain.

LA HB760

Provides relative to unauthorized fees charged by healthcare providers for certain treatments

AR SB180

To Exempt Providers In The Program Of All-inclusive Care For The Elderly From The Licensing Requirements For Home Healthcare Services.

TX SB1380

Relating to health benefit plan preauthorization requirements for participating physicians and providers providing certain health care services.

MN HF1647

Immunity from criminal liability provided for health care providers when performing health treatment and services.

KS SB63

Enacting the help not harm act, restricting use of state funds to promote gender transitioning, prohibiting healthcare providers from providing gender transition care to children whose gender identity is inconsistent with the child's sex, authorizing a civil cause of action against healthcare providers for providing such treatments, requiring professional discipline against a healthcare provider who performs such treatment, prohibiting professional liability insurance from covering damages for healthcare providers that provide gender transition treatment to children and adding violation of the act to the definition of unprofessional conduct for physicians.

Similar Bills

LA HB1121

Authorizes certain healthcare entities to refuse to provide healthcare services under certain circumstances

RI H7030

Creates the healthcare worker platform act that requires platforms offering healthcare shifts to register with the Rhode Island department of health while exempting them from being classified as nursing service agencies.

AR HB1299

To Prohibit Healthcare Insurers From Exercising Recoupment For Payment Of Healthcare Services More Than One Year After The Payment For Healthcare Services Was Made.

RI H7941

Requires insurers to pay electronic claims for healthcare coverage within 14 calendar days of receipt. Permits healthcare providers to dispute claim denials within 60 days and empowers the secretary of EOHHS to establish penalties for violations.

AR HB1301

To Amend The Prior Authorization Transparency Act.

RI H8310

Amends the timelines related to healthcare provider credentialing.

MA H2364

Providing safeguards for home healthcare workers

MA S1632

Providing safeguards for home healthcare workers