New York 2025-2026 Regular Session

New York Assembly Bill A09659

Introduced
1/21/26  

Caption

Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

Impact

If enacted, A09659 would amend sections of New York's insurance laws to include specific coverage for pediatric acute-onset neuropsychiatric syndrome. This inclusion would compel health plans and health insurance issuers to provide coverage for rehabilitation treatment necessary for individuals diagnosed with this syndrome. The amendment will apply to all policies, contracts, and certificates issued, renewed, modified, or altered after the effective date, impacting a significant number of policies across the state.

Summary

Bill A09659 aims to require health insurance policies in New York to cover the costs associated with rehabilitation treatment for pediatric acute-onset neuropsychiatric syndrome. This condition is characterized by sudden onset of psychiatric symptoms in children, and the bill seeks to ensure that affected participants receive necessary treatment as deemed medically necessary by their attending physicians. The legislation is positioned to support families dealing with this challenging health condition by providing financial coverage for needed therapies.

Contention

The proposal has sparked discussions regarding the implications of mandating coverage for specific health conditions. Supporters argue that this bill is essential for families affected by pediatric acute-onset neuropsychiatric syndrome, helping to alleviate the financial burden of treatment. However, there may be concerns regarding the potential impact on insurance premiums and the scope of mandated coverage, leading to debates on the balance between comprehensive care for patients and the economic implications for insurance providers.

Companion Bills

NY S02655

Same As Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

NY S10208

Same As Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

Previously Filed As

NY S10208

Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

NY S02655

Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

NY HB408

Requires health insurance coverage relative to pediatric acute-onset neuropsychiatric syndrome and related conditions (EN INCREASE GF EX See Note)

NY S03038

Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

NY A02823

Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

NY A03362

Requires health insurance policies to cover costs for pediatric acute-onset neuropsychiatric syndrome rehabilitation treatment.

NY HB2549

Mandating insurance coverage of pediatric acute-onset neuropsychiatric syndrome (PANS) and pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS).

NY H5625

Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.

NY HB587

Creates the Pediatric Acute-onset Neuropsychiatric Syndrome specialty license plate

NY HB1641

State plan for medical assistance services and health insurance; pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome.

Similar Bills

No similar bills found.