What's happening
This bill requires health insurance policies to cover early intervention services for children without additional precertification or network restrictions.
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Expand Insurance for Early Intervention
Plain English, a few words. Used as the page title.
Sponsors
13 Co-sponsors
4 Multi-sponsors
History
- Referred to insurance
- Referred to insurance
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Expand Early Intervention Coverage
In Senate Committee · Insurance · Sponsor Joseph A. Griffo
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
2026
2017-2018 Regular Sessions
IN ASSEMBLY
January 17, 2017
Introduced by M. of A. PAULIN, COLTON, CAHILL, ABINANTI, JAFFEE, GALEF, PRETLOW, WEPRIN, ORTIZ, RIVERA, HOOPER, GOODELL, MAGNARELLI, GUNTHER -- Multi-Sponsored by -- M. of A. ENGLEBRIGHT, GOTTFRIED, PERRY, TITONE -- read once and referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to coverage of early intervention services
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Subsection (a) of section 3235-a of the insurance law, as added by section 3 of part C of chapter 1 of the laws of 2002, is amended and two new subsections (e) and (f) are added to read as follows:
(a) No policy of accident and health insurance, including contracts issued pursuant to article forty-three of this chapter, shall exclude coverage for otherwise covered services [solely on the basis that the services constitute early intervention program services] that are provided under title two-A of article twenty-five of the public health law.
(e) Where a service provided to an insured under the early intervention program is a covered service under the insurer's policy or contract, the individualized family services plan, upon certification by the early intervention official, as defined in section twenty-five hundred forty-one of the public health law, or such official's designee, shall be deemed to meet any precertification, preauthorization, and medical necessity requirements imposed on benefits under the policy or contract; provided, however, that the provider shall remove or redact any information contained in the insured's individualized family services plan that is not required by the insurer for payment purposes. Payment for a service covered under the policy or contract that is provided under the early intervention program shall be at rates estab-
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD05164-01-7
A. 2026 2
lished by the commissioner of health for such service pursuant to regulations.
(f) No insurer, including a health maintenance organization issued a certificate of authority under article forty-four of the public health law and a corporation organized under article forty-three of this chapter, shall deny payment of an early intervention claim based on the following:
(1) the location where services are provided;
(2) the duration of the child's condition and/or that the child's condition is not amenable to significant improvement within a certain period of time as specified in the policy; or
(3) that the provider of services is not a network or participating provider.
§ 2. This act shall take effect immediately.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.