S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1206
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              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:
 
   Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
 amended by adding a new paragraph 15-b to read as follows:
   (15-B)  (A) EVERY POLICY WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES
 COVERAGE FOR PHYSICIAN SERVICES IN A PHYSICIAN'S OFFICE AND EVERY POLICY
 WHICH PROVIDES MAJOR  MEDICAL  OR  SIMILAR  COMPREHENSIVE-TYPE  COVERAGE
 SHALL  INCLUDE  COVERAGE  FOR SCREENING FOR DIABETES AND PREDIABETES FOR
 PERSONS OF ASIAN AMERICAN AND PACIFIC ISLANDER DESCENT WHOSE  BODY  MASS
 INDEX IS 23 KG/M2 OR GREATER.
   (B)  A POLICY SUBJECT TO THIS PARAGRAPH SHALL NOT IMPOSE A DEDUCTIBLE,
 CO-INSURANCE, CO-PAYMENT, OR ANY OTHER COST-SHARING REQUIREMENT ON  SUCH
 COVERAGE PROVIDED PURSUANT TO THIS PARAGRAPH.
   § 2. Subsection (k) of section 3221 of the insurance law is amended by
 adding a new paragraph 7-a to read as follows:
   (7-A)  (A) EVERY GROUP OR BLANKET ACCIDENT AND HEALTH INSURANCE POLICY
 ISSUED OR ISSUED FOR DELIVERY  IN  THIS  STATE  WHICH  PROVIDES  MEDICAL
 COVERAGE  THAT INCLUDES COVERAGE FOR PHYSICIAN SERVICES IN A PHYSICIAN'S
 OFFICE AND EVERY POLICY WHICH PROVIDES MAJOR MEDICAL OR SIMILAR  COMPRE-
 HENSIVE-TYPE  COVERAGE SHALL INCLUDE COVERAGE FOR SCREENING FOR DIABETES
 AND PREDIABETES FOR PERSONS  OF  ASIAN  AMERICAN  AND  PACIFIC  ISLANDER
 DESCENT WHOSE BODY MASS INDEX IS 23 KG/M2 OR GREATER.
   (B)  A  GROUP  OR  BLANKET  POLICY SUBJECT TO THIS PARAGRAPH SHALL NOT
 IMPOSE A DEDUCTIBLE, CO-INSURANCE, CO-PAYMENT, OR ANY OTHER COST-SHARING
 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
 
   § 3. Subsection (u-1) of section 4303 of the insurance law  is  renum-
 bered  subsection  (u-2)  and a new subsection (u-1) is added to read as
 follows:
   (U-1)  (1) A MEDICAL EXPENSE INDEMNITY CORPORATION OR A HEALTH SERVICE
 CORPORATION WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES  COVERAGE  FOR
 PHYSICIAN  SERVICES  IN  A  PHYSICIAN'S  OFFICE  AND  EVERY POLICY WHICH
 PROVIDES MAJOR MEDICAL  OR  SIMILAR  COMPREHENSIVE-TYPE  COVERAGE  SHALL
 INCLUDE  COVERAGE FOR SCREENING FOR DIABETES AND PREDIABETES FOR PERSONS
 OF ASIAN AMERICAN AND PACIFIC ISLANDER DESCENT WHOSE BODY MASS INDEX  IS
 23 KG/M2 OR GREATER.
   (2)  A  CONTRACT SUBJECT TO THIS SUBSECTION SHALL NOT IMPOSE A DEDUCT-
 IBLE, COINSURANCE, COPAYMENT, OR ANY OTHER COST-SHARING  REQUIREMENT  ON
 SUCH COVERAGE PROVIDED PURSUANT TO THIS SUBSECTION.
   §  4.  This act shall take effect immediately and shall apply to poli-
 cies and contracts issued, renewed, modified, altered or amended  on  or
 after such effective date.