S T A T E O F N E W Y O R K
________________________________________________________________________
8751
2009-2010 Regular Sessions
I N A S S E M B L Y
June 5, 2009
___________
Introduced by M. of A. THIELE -- read once and referred to the Committee
on Insurance
AN ACT to amend the insurance law, in relation to providing coverage for
biologically-based mental illness under the Healthy New York program
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraphs 13 and 14 of subsection (d) of section 4326 of
the insurance law, as added by chapter 1 of the laws of 1999, are
amended and a new paragraph 15 is added to read as follows:
(13) blood and blood products furnished in connection with surgery or
inpatient hospital services; [and]
(14) prescription drugs obtained at a participating pharmacy. In addi-
tion to providing coverage at a participating pharmacy, health mainte-
nance organizations may utilize a mail order prescription drug program.
Health maintenance organizations may provide prescription drugs pursuant
to a drug formulary; however, health maintenance organizations must
implement an appeals process so that the use of non-formulary
prescription drugs may be requested by a physician[.]; AND
(15) PSYCHIATRIC OR PSYCHOLOGICAL SERVICES OR DIAGNOSIS OR TREATMENT
OF MENTAL, NERVOUS OR EMOTIONAL DISORDERS OR AILMENTS AND BIOLOGICALLY-
BASED MENTAL ILLNESS.
S 2. This act shall take effect immediately.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11727-01-9