Bill
S 5313
S5313 aims to change how non-covered dental services are handled, potentially expanding coverage and reducing out-of-pocket costs for patients.
Overview
- Jurisdiction: New York State Senate
- Bill number: S 5313
- Title: Relates to addressing non-covered dental services
- Current status: COMMITTED TO RULES
- Introduced: February 20, 2025
- Classification: bill
Purpose and intent
- The bill’s title indicates a focus on “addressing non-covered dental services.” While the provided materials do not include the full text, the title suggests an intent to modify how dental services that are not currently covered by insurance are handled—potentially aiming to expand coverage, change coverage requirements, or reduce barriers to access for certain dental services that are not typically included in standard plans.
Procedural history and timeline
- 2025-02-20: Referred to the Senate Insurance Committee
- 2025-03-03: Advanced to Third Reading (1st report CAL)
- 2025-03-04: 2nd Report CAL
- 2025-03-05: Amended on Third Reading (5313A)
- 2025-05-19: Amended on Third Reading (5313A)
- 2025-06-13: Committed to Rules (listed twice in the actions)
- Version note: The materials include a version denoted as S5313A, indicating amendments were made to the bill during its third-reading stage. The actual text of S5313A is not included in the provided excerpt.
Sponsors and related legislation
- Primary sponsor: Jamaal Bailey
- Cosponsors: Patrick M. Gallivan (cosponsor), Andrew Gounardes (cosponsor), Leroy Comrie (cosponsor), Pete Harckham (cosponsor)
- Related bills:
- S 7577 (prior-session)
- A 3687 (companion) — listed as companion in the related bills
- The presence of related bills suggests a broader interest in dental benefits and coverage across both Senate and Assembly, potentially with parallel proposals.
Potential impact and considerations
- If enacted, the bill could affect:
- Patients: Potentially greater access to dental services that are not typically covered, leading to reduced out-of-pocket costs for certain procedures.
- Insurers/health plans: Possible requirement to cover previously non-covered services or to adjust eligibility/benefit designs.
- Providers: Changes in reimbursement or coverage standards for specific non-covered services.
- Fiscal and timeline considerations are not specified in the provided materials. Enacting changes to coverage often involves evaluating premium impacts, cost-sharing, and implementation timelines for insurers and state oversight.
- Since the exact provisions are not included here, the precise definitions (what constitutes “non-covered” services, which services are affected, any exemptions, enforcement mechanisms, and effective dates) would be found in the full text of S5313 and the amended S5313A.
Next steps for readers
- Review the full text of S5313 and the amended version S5313A to understand specific provisions, definitions, and any implementing regulations.
- Monitor committee reports and floor action for updates on passage or changes.
- Check related bills (S 7577, A 3687) for complementary or competing approaches in the same policy space.
Notes
- This summary reflects information provided in the bill’s summary materials and legislative actions. The precise policy language and fiscal impact require the bill texts themselves.
Compiled from official sources — confirm details with the bill’s official record.
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