Shown verbatim: the complete text as captured from the official source posted by the New York State Senate, fetched 2026-08-11. Nothing is edited or removed. Where this bill amends existing law, language marked for deletion in the official source appears here in brackets. The official bill page.
S T A T E O F N E W Y O R K
________________________________________________________________________
419
2025-2026 Regular Sessions
I N A S S E M B L Y
(PREFILED)
January 8, 2025
___________
Introduced by M. of A. R. CARROLL -- read once and referred to the
Committee on Insurance
AN ACT to amend the insurance law, in relation to requiring certain
insurance policies to cover neuropsychological exams for dyslexia
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph 39 of subsection (i) of section 3216 of the
insurance law, as added by a chapter of the laws of 2024 amending the
insurance law relating to requiring certain insurance policies to cover
neuropsychological exams for dyslexia, as proposed in legislative bills
numbers S. 5481-A and A. 2898-A, is amended to read as follows:
[(39)] (40) (A) Every policy that provides coverage for physician
services, medical, major medical or similar comprehensive-type coverage
shall, UPON THE REFERRAL OF A PHYSICIAN, provide coverage for [testing]
COMPREHENSIVE NEUROPSYCHOLOGICAL EXAMINATIONS for [suspected] dyslexia
WHEN PERFORMED BY A HEALTH CARE PROFESSIONAL LICENSED, CERTIFIED, OR
AUTHORIZED PURSUANT TO TITLE EIGHT OF THE EDUCATION LAW AND ACTING WITH-
IN THEIR SCOPE OF PRACTICE AND in accordance with this paragraph and
shall not exclude coverage for the screening, diagnosis or treatment of
medical conditions otherwise covered by the policy.
(B) [Coverage shall include comprehensive neuropsychological examina-
tions for the purposes of diagnosing dyslexia and determining the
psychological, emotional, and educational wellness needs of the individ-
ual tested.] NOTHING IN THIS PARAGRAPH SHALL BE CONSTRUED TO PREVENT THE
MEDICAL MANAGEMENT OR UTILIZATION REVIEW OF THE SERVICES OR PREVENT A
POLICY FROM REQUIRING THAT SERVICES BE PROVIDED THROUGH A NETWORK OF
PARTICIPATING PROVIDERS.
§ 2. Subsection (u) of section 3221 of the insurance law, as added by
a chapter of the laws of 2024 amending the insurance law relating to
requiring certain insurance policies to cover neuropsychological exams
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02832-01-5
A. 419 2
for dyslexia, as proposed in legislative bills numbers S. 5481-A and A.
2898-A, is amended to read as follows:
(u) (1) Every policy that provides coverage for physician services,
medical, major medical or similar comprehensive-type coverage shall,
UPON THE REFERRAL OF A PHYSICIAN, provide coverage for [testing] COMPRE-
HENSIVE NEUROPSYCHOLOGICAL EXAMINATIONS for [suspected] dyslexia WHEN
PERFORMED BY A HEALTH CARE PROFESSIONAL LICENSED, CERTIFIED, OR AUTHOR-
IZED PURSUANT TO TITLE EIGHT OF THE EDUCATION LAW AND ACTING WITHIN
THEIR SCOPE OF PRACTICE AND in accordance with this subsection and shall
not exclude coverage for the screening, diagnosis or treatment of
medical conditions otherwise covered by the policy.
(2) [Coverage shall include comprehensive neuropsychological examina-
tions for the purposes of diagnosing dyslexia and determining the
psychological, emotional, and educational wellness needs of the individ-
ual tested.] NOTHING IN THIS SUBSECTION SHALL BE CONSTRUED TO PREVENT
THE MEDICAL MANAGEMENT OR UTILIZATION REVIEW OF THE SERVICES OR PREVENT
A POLICY FROM REQUIRING THAT SERVICES BE PROVIDED THROUGH A NETWORK OF
PARTICIPATING PROVIDERS.
§ 3. Subsection (vv) of section 4303 of the insurance law, as added by
a chapter of the laws of 2024 amending the insurance law relating to
requiring certain insurance policies to cover neuropsychological exams
for dyslexia, as proposed in legislative bills numbers S. 5481-A and A.
2898-A, is amended to read as follows:
(vv) (1) Every [policy] CONTRACT that provides coverage for physician
services, medical, major medical or similar comprehensive-type coverage
shall, UPON THE REFERRAL OF A PHYSICIAN, provide coverage for [testing]
COMPREHENSIVE NEUROPSYCHOLOGICAL EXAMINATIONS for [suspected] dyslexia
WHEN PERFORMED BY A HEALTH CARE PROFESSIONAL LICENSED, CERTIFIED, OR
AUTHORIZED PURSUANT TO TITLE EIGHT OF THE EDUCATION LAW AND ACTING WITH-
IN THEIR SCOPE OF PRACTICE AND in accordance with this subsection and
shall not exclude coverage for the screening, diagnosis or treatment of
medical conditions otherwise covered by the [policy] CONTRACT.
(2) [Coverage shall include comprehensive neuropsychological examina-
tions for the purposes of diagnosing dyslexia and determining the
psychological, emotional, and educational wellness needs of the individ-
ual tested.] NOTHING IN THIS SUBSECTION SHALL BE CONSTRUED TO PREVENT
THE MEDICAL MANAGEMENT OR UTILIZATION REVIEW OF THE SERVICES OR PREVENT
A CONTRACT FROM REQUIRING THAT SERVICES BE PROVIDED THROUGH A NETWORK OF
PARTICIPATING PROVIDERS.
§ 4. This act shall take effect on the same date and in the same
manner as a chapter of the laws of 2024 amending the insurance law
relating to requiring certain insurance policies to cover neuropsycho-
logical exams for dyslexia, as proposed in legislative bills numbers S.
5481-A and A. 2898-A, takes effect.Every fact on this page links to its source, starting with the official bill record.