Requires insurance coverage for one rescue and one maintenance inhaler at no cost.

New York State Assembly Bill A00128, signed into law on November 21, 2025, mandates that health insurance policies in New York cover the full cost of one rescue inhaler and one maintenance inhaler for individuals with respiratory conditions, ensuring these essential medications are available without any out-of-pocket expenses.

Supporters of the bill, including healthcare advocates and patient groups, have praised the legislation for improving access to vital medications for individuals with respiratory conditions. They highlight that eliminating out-of-pocket costs for inhalers can lead to better health outcomes and reduce emergency medical situations. The bill's passage is seen as a significant step toward making essential healthcare more affordable and accessible in New York State.

Critics of the bill, including some insurance industry representatives, have expressed concerns about the potential financial impact on insurance providers. They argue that mandating full coverage for inhalers without cost-sharing could lead to increased premiums for all policyholders. Additionally, there are concerns about the precedent this sets for future mandates on insurance coverage, potentially leading to further regulatory burdens on the industry.