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Assembly Bill A10237

2015-2016 Legislative Session

Requires insurers providing coverage of medications and prescription drugs for opioid addiction, to provide coverage of such medications and drugs during the entire period they are prescribed

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Archive: Last Bill Status - In Assembly Committee

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2015-A10237 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: A4899
2019-2020: A294

2015-A10237 (ACTIVE) - Summary

Requires insurers providing coverage of medications and prescription drugs for opioid addiction, to provide coverage of such medications and drugs during the entire period they are prescribed.

2015-A10237 (ACTIVE) - Bill Text download pdf 

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

                                  10237

                          I N  A S S E M B L Y

                              May 17, 2016
                               ___________

Introduced  by  M.  of  A.  ROSENTHAL  --  read once and referred to the
  Committee on Insurance

AN ACT to amend the insurance  law,  in  relation  to  requiring  health
  insurers  to  provide  coverage of opioid addiction medications during
  the entire period such medications are prescribed

  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 33 to read as follows:
  (33)(A) EVERY POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL  OR  SIMILAR
COMPREHENSIVE-TYPE  COVERAGE,  OR  COVERAGE  FOR PRESCRIPTION DRUGS MUST
PROVIDE COVERAGE OF MEDICATIONS AND PRESCRIPTION  DRUGS  PRESCRIBED  FOR
THE  TREATMENT  OF SUBSTANCE ABUSE DISORDER SUFFERED BY A COVERED PERSON
WITH AN ADDICTION TO OPIOIDS. SUCH COVERAGE  OF  MEDICATIONS  AND  DRUGS
SHALL CONTINUE TO BE PROVIDED DURING THE ENTIRE PERIOD OF TIME THE MEDI-
CATIONS  AND  DRUGS  ARE  PRESCRIBED FOR SUCH TREATMENT BY AN AUTHORIZED
PRESCRIBER.
  (B) COVERAGE PROVIDED UNDER THIS PARAGRAPH MAY BE  SUBJECT  TO  ANNUAL
DEDUCTIBLES AND CO-INSURANCE AS DEEMED APPROPRIATE BY THE SUPERINTENDENT
AND  THAT  ARE  CONSISTENT WITH THOSE IMPOSED ON OTHER BENEFITS WITHIN A
GIVEN POLICY.
  S 2. Subsection (1) of section 3221 of the insurance law is amended by
adding a new paragraph 7-a to read as follows:
  (7-A)(A) EVERY POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL OR  SIMILAR
COMPREHENSIVE-TYPE  COVERAGE,  OR  COVERAGE  FOR PRESCRIPTION DRUGS MUST
PROVIDE COVERAGE OF MEDICATIONS AND PRESCRIPTION  DRUGS  PRESCRIBED  FOR
THE  TREATMENT  OF SUBSTANCE ABUSE DISORDER SUFFERED BY A COVERED PERSON
WITH AN ADDICTION TO OPIOIDS. SUCH COVERAGE  OF  MEDICATIONS  AND  DRUGS
SHALL CONTINUE TO BE PROVIDED DURING THE ENTIRE PERIOD OF TIME THE MEDI-
CATIONS  AND  DRUGS  ARE  PRESCRIBED FOR SUCH TREATMENT BY AN AUTHORIZED
PRESCRIBER.
  (B) COVERAGE PROVIDED UNDER THIS PARAGRAPH MAY BE  SUBJECT  TO  ANNUAL
DEDUCTIBLES AND CO-INSURANCE AS DEEMED APPROPRIATE BY THE SUPERINTENDENT

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD15127-01-6

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