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Assembly Bill A7979A

2017-2018 Legislative Session

Prohibits certain insurance policies from requiring prior authorization for certain medications used in the treatment of substance use disorders; repealer

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Archive: Last Bill Status - In Senate Committee Insurance Committee

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Bill Amendments

2017-A7979 - Details

See Senate Version of this Bill:
S6674
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, rpld §3216 sub§ (i) ¶31-a, §3221 sub§ (l) ¶¶7-a & 7-b, §4303 sub§§ (l-1) & (l-2), Ins L
Versions Introduced in 2019-2020 Legislative Session:
A2904, S4808

2017-A7979 - Summary

Prohibits certain insurance policies from requiring prior authorization for buprenorphine products, methadone and long acting injectable naltrexone for detoxification or maintenance treatment of substance use disorders.

2017-A7979 - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7979
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 23, 2017
                                ___________
 
 Introduced  by M. of A. QUART -- read once and referred to the Committee
   on Insurance
 
 AN ACT to amend the insurance law, in relation  to  prohibiting  certain
   insurance  policies  from  requiring  prior  authorization for certain
   medications used in the treatment of substance use disorders;  and  to
   repeal certain provisions of such law relating thereto
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph 31-a of subsection (i) of  section  3216  of  the
 insurance  law  is REPEALED and a new paragraph 31-a is added to read as
 follows:
   (31-A) (A) NO POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL  OR  SIMILAR
 COMPREHENSIVE-TYPE COVERAGE AND PROVIDES COVERAGE FOR PRESCRIPTION DRUGS
 FOR  MEDICATION  FOR  THE  TREATMENT  OF  A SUBSTANCE USE DISORDER SHALL
 REQUIRE PRIOR AUTHORIZATION FOR AN INITIAL OR RENEWAL  PRESCRIPTION  FOR
 ALL  BUPRENORPHINE  PRODUCTS  OR  LONG  ACTING INJECTABLE NALTREXONE FOR
 DETOXIFICATION OR MAINTENANCE TREATMENT  OF  A  SUBSTANCE  USE  DISORDER
 EXCEPT WHERE OTHERWISE PROHIBITED BY LAW.
   (B)  COVERAGE  PROVIDED  UNDER THIS PARAGRAPH MAY BE SUBJECT TO COPAY-
 MENTS, COINSURANCE, AND ANNUAL  DEDUCTIBLES  THAT  ARE  CONSISTENT  WITH
 THOSE IMPOSED ON OTHER BENEFITS WITHIN THE POLICY.
   §  2.  Paragraphs 7-a and 7-b of subsection (l) of section 3221 of the
 insurance law are REPEALED and a new paragraph 7-a is added to  read  as
 follows:
   (7-A) (A) EVERY POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR
 COMPREHENSIVE-TYPE LARGE GROUP COVERAGE SHALL PROVIDE IMMEDIATE COVERAGE
 FOR  ALL  BUPRENORPHINE  PRODUCTS  OR  LONG ACTING INJECTABLE NALTREXONE
 WITHOUT PRIOR AUTHORIZATION FOR THE DETOXIFICATION OR MAINTENANCE TREAT-
 MENT OF A SUBSTANCE USE DISORDER.

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11793-01-7

co-Sponsors

2017-A7979A (ACTIVE) - Details

See Senate Version of this Bill:
S6674
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, rpld §3216 sub§ (i) ¶31-a, §3221 sub§ (l) ¶¶7-a & 7-b, §4303 sub§§ (l-1) & (l-2), Ins L
Versions Introduced in 2019-2020 Legislative Session:
A2904, S4808

2017-A7979A (ACTIVE) - Summary

Prohibits certain insurance policies from requiring prior authorization for buprenorphine products, methadone and long acting injectable naltrexone for detoxification or maintenance treatment of substance use disorders.

2017-A7979A (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  7979--A
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                               May 23, 2017
                                ___________
 
 Introduced  by M. of A. QUART -- read once and referred to the Committee
   on Insurance -- committee discharged, bill amended, ordered  reprinted
   as amended and recommitted to said committee
 
 AN  ACT  to  amend the insurance law, in relation to prohibiting certain
   insurance policies from  requiring  prior  authorization  for  certain
   medications  used  in the treatment of substance use disorders; and to
   repeal certain provisions of such law relating thereto
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  31-a  of subsection (i) of section 3216 of the
 insurance law is REPEALED and a new paragraph 31-a is added to  read  as
 follows:
   (31-A)  (A)  NO POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR
 COMPREHENSIVE-TYPE COVERAGE AND PROVIDES COVERAGE FOR PRESCRIPTION DRUGS
 FOR MEDICATION FOR THE TREATMENT  OF  A  SUBSTANCE  USE  DISORDER  SHALL
 REQUIRE  PRIOR  AUTHORIZATION FOR AN INITIAL OR RENEWAL PRESCRIPTION FOR
 ALL BUPRENORPHINE PRODUCTS, METHADONE OR LONG ACTING INJECTABLE NALTREX-
 ONE FOR DETOXIFICATION OR  MAINTENANCE  TREATMENT  OF  A  SUBSTANCE  USE
 DISORDER EXCEPT WHERE OTHERWISE PROHIBITED BY LAW.
   (B)  COVERAGE  PROVIDED  UNDER THIS PARAGRAPH MAY BE SUBJECT TO COPAY-
 MENTS, COINSURANCE, AND ANNUAL  DEDUCTIBLES  THAT  ARE  CONSISTENT  WITH
 THOSE IMPOSED ON OTHER BENEFITS WITHIN THE POLICY.
   §  2.  Paragraphs 7-a and 7-b of subsection (l) of section 3221 of the
 insurance law are REPEALED and a new paragraph 7-a is added to  read  as
 follows:
   (7-A) (A) EVERY POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR
 COMPREHENSIVE-TYPE LARGE GROUP COVERAGE SHALL PROVIDE IMMEDIATE COVERAGE
 FOR  ALL  BUPRENORPHINE  PRODUCTS,  METHADONE  OR LONG ACTING INJECTABLE
 NALTREXONE WITHOUT PRIOR AUTHORIZATION FOR THE DETOXIFICATION OR MAINTE-
 NANCE TREATMENT OF A SUBSTANCE USE DISORDER.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11793-02-7

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