senate Bill S4189

2013-2014 Legislative Session

Requires insurance companies to provide coverage for opioid-addiction treatment medications

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Archive: Last Bill Status - In Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to insurance
Mar 13, 2013 referred to insurance

Co-Sponsors

S4189 - Bill Details

Current Committee:
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

S4189 - Bill Texts

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Requires insurance companies to provide coverage for opioid-addiction treatment medications.

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BILL NUMBER:S4189

TITLE OF BILL: An act to amend the insurance law, in relation to
coverage for opioid-addiction treatment medications

PURPOSE OR GENERAL IDEA OF BILL:

The insurance law is amended to require insurance companies to cover
opicid-addiction treatment medications.

SUMMARY OF SPECIFIC PROVISIONS:

The bill amends sections 3216, 3221 and 4303 of the insurance law to
require that every policy that provides medical, major medical or
similar comprehensive-type coverage and provides coverage for
prescriptions drugs shall provide coverage for opioid-addiction
treatment medications. Coverage may be subject to copays, coinsurance
or deductibles, provided these are equitable to comparable
prescription drugs covered under the policy.

JUSTIFICATION:

Opioid addiction is a statewide epidemic. Stories of young people
overdosing on highly addictive painkillers like hydrocodone and
oxycontin, as well as street drugs like heroin, illustrate a need for
better access to addiction treatment and care. As New York State
begins to crack down on prescription drug abuse, it is important that
individuals with chemical dependency have access to a wide array of
treatment options.

Opioid-addiction treatment medications such as Vivitrol (Naltrexone),
Buorenorphine (suboxone, naloxone) and methadone are synthetic opioids
that stabilize patients by mitigating opioid withdrawal syndrome.
These medications block the euphoric effects of heroin, morphine,
oxycontin, bvdrocodone and other opioids. When used properly, patients
can reduce or stop altogether their use of these substances.

PRIOR LEGISLATIVE HISTORY:

New bill.

FISCAL IMPLICATIONS:

None.

EFFECTIVE DATE:

Immediately.

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                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  4189

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                             March 13, 2013
                               ___________

Introduced  by  Sen. KENNEDY -- read twice and ordered printed, and when
  printed to be committed to the Committee on Insurance

AN ACT to amend the insurance law, in relation to coverage  for  opioid-
  addiction treatment medications

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
amended by adding a new paragraph 30 to read as follows:
  (30)  EVERY POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE THAT
PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR COMPREHENSIVE-TYPE  COVERAGE
AND  PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL PROVIDE COVERAGE FOR
OPIOID-ADDICTION TREATMENT MEDICATIONS. SUCH COVERAGE MAY BE SUBJECT  TO
CO-PAYS, COINSURANCE, OR DEDUCTIBLES, PROVIDED THAT THE CO-PAYS, COINSU-
RANCE,  OR  DEDUCTIBLES  ARE  AT LEAST AS FAVORABLE TO AN INSURED AS THE
CO-PAYS, COINSURANCE, OR DEDUCTIBLES THAT APPLY TO  COVERAGE  FOR  OTHER
PRESCRIPTION DRUGS.
  S 2. Subsection (k) of section 3221 of the insurance law is amended by
adding a new paragraph 19 to read as follows:
  (19)  EVERY POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE THAT
PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR COMPREHENSIVE-TYPE  COVERAGE
AND  PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL PROVIDE COVERAGE FOR
OPIOID-ADDICTION TREATMENT MEDICATIONS. SUCH COVERAGE MAY BE SUBJECT  TO
CO-PAYS, COINSURANCE, OR DEDUCTIBLES, PROVIDED THAT THE CO-PAYS, COINSU-
RANCE,  OR  DEDUCTIBLES  ARE  AT LEAST AS FAVORABLE TO AN INSURED AS THE
CO-PAYS, COINSURANCE, OR DEDUCTIBLES THAT APPLY TO  COVERAGE  FOR  OTHER
PRESCRIPTION DRUGS.
  S  3.  Section  4303  of  the insurance law is amended by adding a new
subsection (jj) to read as follows:
  (JJ) EVERY POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE  THAT
PROVIDES  MEDICAL, MAJOR MEDICAL, OR SIMILAR COMPREHENSIVE-TYPE COVERAGE
AND PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL PROVIDE COVERAGE  FOR

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD08930-01-3

S. 4189                             2

OPIOID-ADDICTION  TREATMENT MEDICATIONS. SUCH COVERAGE MAY BE SUBJECT TO
CO-PAYS, COINSURANCE, OR DEDUCTIBLES, PROVIDED THAT THE CO-PAYS, COINSU-
RANCE, OR DEDUCTIBLES ARE AT LEAST AS FAVORABLE TO  AN  INSURED  AS  THE
CO-PAYS,  COINSURANCE,  OR  DEDUCTIBLES THAT APPLY TO COVERAGE FOR OTHER
PRESCRIPTION DRUGS.
  S 4. This act shall take effect immediately and  shall  apply  to  any
policy issued, delivered, modified, amended, or renewed on or after such
effective date.

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