Relates to insurance reimbursement for cost of vaccinations

Where it stands

Passed one of the two chambers; it still needs the other.

Insurance · New York State Assembly

Also referred to Insurance · New York State Senate.

Purpose, from the sponsor's memo

To require insurance companies to reimburse healthcare providers for the full cost of vaccination. SUMMARY PROVISIONS: Section 1: Amends clause (iii) of subparagraph (B) of paragraph 17 of subsection (i) of § 3216 insurance law to include reimbursement to health care providers for the acquisition costs of the vaccine, accord- ing to the current or most recently reported United States centers for disease control and prevention private sector cost plus a minimum of twenty-one percent for shipping, handling and storage costs, and the total cost of administration of the vaccine, including the cost of supplies, data entry, vaccine counseling, inventory management and routine nursing activities based on the current year's Medicare rates as published by the United States Centers for Medicare and Medicaid Services. Section 2: Clause (ii) of subparagraph (E) of paragraph 17 of subsection (i) of section 3216 of the insurance law, as amended by chapter 219 of the laws of 2011 to ensure health care providers will be reimbursed for immunizations recommended by the CDC's Advisory Committee on Immuniza- tion Practices. Reimbursement will cover the vaccine acquisition cost based on the latest CDC private sector pricing, plus a minimum of 21% for shipping, handling, and storage. Additionally, providers will be compensated for the full cost of vaccine administration, including supplies, data entry, counseling, inventory management, and routine nursing activities, based on the current Medicare rates set by the Centers for Medicare & Medicaid Services. Section 3: Clause (iii) of subparagrapgh (B) of paragraph 8 of subsection (i) of section 3221 of the insurance law, to ensure health care providers will be reimbursed for the acquisition and administration of essential immunizations, as determined by health authorities, includ- ing vaccines for diphtheria, pertussis, tetanus, polio, measles, rubel- la, mumps, Haemophilus influenzae type B, and hepatitis B. Reimbursement will be based on the latest CDC private sector pricing, with an addi- tional 21% for shipping, handling, and storage costs. According to current Medicare rates, providers will also be compensated for adminis- tration-related expenses, such as supplies, data entry, counseling, inventory management, and routine nursing activities. Section 4: Clause (ii) of subparagraph (E) of paragraph 8 of subsection (1) of section 3221 of the insurance law, to ensure Health care provid- ers will be reimbursed for vaccines recommended by the CDC's Advisory Committee on Immunization Practices. Reimbursement will cover the acqui- sition cost based on the latest CDC private sector pricing, plus an additional 21% for shipping, handling, and storage. Additionally, providers will be compensated for administration costs, including supplies, data entry, counseling, inventory management, and routine nursing activities, following current Medicare rates. Section 5: Subparagraph (c) of subsection (j) of section 4303 of the insurance law, to include, necessary immunizations, including vaccines for diphtheria, pertussis, tetanus, polio, measles, rubella, mumps, Haemophilus influenzae type B, and hepatitis B, must meet U.S. Public Health Service standards. Health care providers will be reimbursed for vaccine acquisition costs based on the latest CDC private sector pric- ing, plus 21% for shipping, handling, and storage. Following current Medicare rates, reimbursement will also cover administration costs, including supplies, data entry, counseling, inventory management, and routine nursing activities. Section 6: Subparagraph (B) of paragraph 3 of subsection 4303 of the insurance law, to provide immunizations recommended by the CDC's Advi- sory Committee on Immunization Practices will be reimbursed based on the latest CDC private sector pricing. Health care providers will receive compensation for vaccine acquisition costs, plus a minimum of 21% for shipping, handling, and storage. Following current Medicare rates, re

Filed with the bill. Read it on nysenate.gov (opens in a new tab)

Recorded votes

• Vote: Floor vote

  NY SenateMar 4, 2026Result: passed

  Voted yes (42)Voted no (18)Voted present (0)Absent (3)

  See member positions for the vote on Mar 4, 2026 (Floor vote)

• Vote: Committee vote · Insurance

  Senate InsuranceFeb 9, 2026Result: passed

  Voted yes (11)Voted no (0)Voted present (0)Absent (0)

  See member positions for the vote on Feb 9, 2026 (Committee vote · Insurance)

Full history

1. Mar 4, 2026

   Sent to the executive

   DELIVERED TO ASSEMBLY

   NY Senate

2. Mar 4, 2026

   Passed a chamber

   PASSED SENATE

   NY Senate

3. Mar 4, 2026

   Referred to committee

   REFERRED TO INSURANCE

   NY Assembly

4. Feb 11, 2026

   Advanced to Third Reading

   ADVANCED TO THIRD READING

   NY Senate

5. Feb 10, 2026

   2ND Report CAL.

   2ND REPORT CAL.

   NY Senate

About this record

Summary

The summary comes from NY Open Legislation, the New York State Senate's public record. For more, see How we handle summaries.

Cosponsors

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Source

From NY Open Legislation, the NY Senate and Assembly, and official rosters. This record was last updated Nov 2, 2026. About our data

Read the record

• Read on NY Senate (opens in a new tab) The official record on nysenate.gov.