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Senate Bill S7826

2017-2018 Legislative Session

Relates to requiring prescription drug coverage to include such supplements and vitamins, medical foods, and other medications to mitigate and/or treat the symptoms of mitochondrial disease

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance Committee

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2017-S7826 (ACTIVE) - Details

Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
S3015

2017-S7826 (ACTIVE) - Summary

Relates to requiring prescription drug coverage to include such supplements and vitamins, medical foods, and other medications as shall be deemed necessary by a physician to mitigate and/or treat the symptoms of mitochondrial disease.

2017-S7826 (ACTIVE) - Sponsor Memo

2017-S7826 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7826
 
                             I N  S E N A T E
 
                               March 1, 2018
                                ___________
 
 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 requiring prescription
   drug coverage to include such supplements and vitamins, medical foods,
   and other medications as shall be deemed necessary to mitigate  and/or
   treat the symptoms of mitochondrial disease

   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 34 to read as follows:
   (34)  (A)  EVERY POLICY WHICH PROVIDES COVERAGE FOR PRESCRIPTION DRUGS
 SHALL INCLUDE COVERAGE FOR THE COST OF SUCH  SUPPLEMENTS  AND  VITAMINS,
 MEDICAL  FOODS, AND OTHER MEDICATIONS USED TO TREAT THE SYMPTOMS ASSOCI-
 ATED WITH MITOCHONDRIAL DISEASE AS A PHYSICIAN SHALL DEEM  NECESSARY  TO
 MITIGATE  AND/OR  TREAT THE SYMPTOMS OF SUCH MITOCHONDRIAL DISEASE DIAG-
 NOSED THROUGH CLINICAL ASSESSMENT, MUSCLE BIOPSY, BIOCHEMICAL TESTING OR
 GENETIC TESTING IN A COVERED PERSON.
   (B) SUCH COVERAGE MAY BE SUBJECT TO SUCH ANNUAL DEDUCTIBLES AND  COIN-
 SURANCE  AS  MAY  BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE
 CONSISTENT WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN THE POLICY.
   § 2. Subsection (k) of section 3221 of the insurance law is amended by
 adding a new paragraph 22 to read as follows:
   (22) (A) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR  DELIV-
 ERY  IN  THIS  STATE THAT PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL
 INCLUDE COVERAGE FOR THE COST OF SUCH SUPPLEMENTS AND VITAMINS,  MEDICAL
 FOODS,  AND OTHER MEDICATIONS USED TO TREAT THE SYMPTOMS ASSOCIATED WITH
 MITOCHONDRIAL DISEASE AS A PHYSICIAN SHALL DEEM  NECESSARY  TO  MITIGATE
 AND/OR  TREAT  THE  SYMPTOMS  OF  SUCH  MITOCHONDRIAL  DISEASE DIAGNOSED
 THROUGH CLINICAL  ASSESSMENT,  MUSCLE  BIOPSY,  BIOCHEMICAL  TESTING  OR
 GENETIC TESTING IN A COVERED PERSON.
   (B)  SUCH COVERAGE MAY BE SUBJECT TO SUCH ANNUAL DEDUCTIBLES AND COIN-
 SURANCE AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT  AND  AS  ARE
 CONSISTENT WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN THE POLICY.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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