New York S00965 requires insurers to cover treatment for rare diseases, life-threatening conditions, degenerative and disabling conditions, or.
New York S00965 amends the insurance law to mandate that insurers provide coverage for treatment of rare diseases, life-threatening conditions or diseases, degenerative and disabling conditions, or diagnoses involving medically fragile children by a provider chosen by the patient. This coverage applies if certain conditions are met, including that the chosen provider's costs are equal to or less than those of a local network provider with a similar subspecialty, and the patient's treating specialist or primary care provider recommends the chosen provider in writing.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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