NY LEG Donor Human Milk Coverage


On May 28, NY LEG passed bill requiring donor milk ins coverage.


  • NY LEG passed bill AB 7790/SB 6674-A, coverage requirements for human donor milk.
  • The bill amends NY INS 28-32-3216, NY INS 28-32-3221, and NY INS 28-32-4303.
  • Bill Provisions
  • Requires health coverage for outpatient use of pasteurized donor human milk (PDHM).
  • For infants who are medically or physically unable to receive maternal breast milk.
  • Or if mother is medically or physically unable to produce maternal breast milk at all or in sufficient quantities or facilitate breast feeding despite optimal lactation support.
  • Applies to individual, small group, large group, and article 43 health insurance plans.
  • Legislative History
  • On Jun. 15, 2023, bill introduced in Assembly; on May 23, 2024, bill passed Assembly.
  • On May 23, 2024, bill introduced in Senate; on May 28, 2024, bill passed in Senate.
  • Effectiveness
  • If enacted, bill becomes effective Jan. 1, 2025.
  • Oct. 2024 NY LEG Governor Approval
  • On Oct. 1, 2024, NY LEG reported governor signed bill SB 06674-A, AB 7790, Ch. 422.

Regulators NY LEG
Entity Types CNSM; Ins
Reference PR, 10/2/2024; Ch 422, 10/1/2024; Bill, A07790, S06674-A, 5/28/2024; Citation: *NY INS* 28-32-3216, 28-32-3221, 28-32-4303;
Functions Claims/Accelerated Benefits; Compliance; Legal; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 10/1/2024
Effective Date 1/1/2025
Rule Id 213952
Linked to N/A
Reg. Last Update 10/1/2024
Report Section US Consumer

Last substantive update on 10/06/2024