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
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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.