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state_legiscan_drain · NY

Provides that any copayment or coinsurance amount charged by an insurer to the insured for services rendered by a physical therapist or an occupational therapist shall not be more than twenty-five percent greater than the copayment or coinsurance amount imposed for an office visit to a licensed primary care physician or osteopath for the same or a similar diagnosed condition.

March 5, 2025

Summary

If enacted, this bill would limit copayments or coinsurance for physical or occupational therapy to no more than 25% higher than the copayment for a primary care office visit for the same condition. This would affect health insurers and insured individuals in New York.

Source: https://www.nysenate.gov/legislation/bills/2025/A6484

Common questions

What does "Provides that any copayment or coinsurance amount charged by an insurer to the insured for services rendered by a physical therapist or an occupational therapist shall not be more than twenty-five percent greater than the copayment or coinsurance amount imposed for an office visit to a licensed primary care physician or osteopath for the same or a similar diagnosed condition." cover?
If enacted, this bill would limit copayments or coinsurance for physical or occupational therapy to no more than 25% higher than the copayment for a…
When was it published?
It was published on March 5, 2025.

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