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Assembly Bill A102

2019-2020 Legislative Session

Relates to insurance coverage for opioid medications

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Archive: Last Bill Status - In Assembly Committee

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2019-A102 (ACTIVE) - Details

See Senate Version of this Bill:
S4500
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2017-2018 Legislative Session:
A8710

2019-A102 (ACTIVE) - Summary

Relates to insurance coverage for opioid medications.

2019-A102 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    102
 
                        2019-2020 Regular Sessions
 
                           I N  A S S E M B L Y
 
                                (PREFILED)
 
                              January 9, 2019
                                ___________
 
 Introduced  by  M.  of  A. L. ROSENTHAL -- read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to insurance coverage  of
   opioid 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 35 to read as follows:
   (35)(A)  EVERY  POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR
 COMPREHENSIVE-TYPE COVERAGE, OR COVERAGE  FOR  PRESCRIPTION  DRUGS  MUST
 PROVIDE  COVERAGE  OF  OPIOID  MEDICATIONS  AND PRESCRIPTION DRUGS. SUCH
 COVERAGE SHALL CONTINUE TO BE PROVIDED DURING THE ENTIRE PERIOD OF  TIME
 THE  MEDICATIONS  AND DRUGS ARE PRESCRIBED OR ADMINISTERED BY AN AUTHOR-
 IZED PRESCRIBER OR ADMINISTRATOR. SUCH COVERAGE SHALL NOT REQUIRE  PRIOR
 AUTHORIZATION  FROM  THE  INSURANCE  COMPANY  PRIOR TO ADMINISTRATION OR
 PRESCRIPTION OF SUCH MEDICATIONS AND PRESCRIPTION DRUGS.  SUCH  COVERAGE
 SHALL  BE  AT  THE  SAME RATE REGARDLESS OF THE OPIOID MEDICATIONS BEING
 ADMINISTERED OR PRESCRIBED. AN INSURANCE  COMPANY  SHALL  NOT  CHARGE  A
 DIFFERENT RATE FOR ANY MEDICATION IN THE OPIOID CLASS.
   (B)  COVERAGE  PROVIDED  UNDER THIS PARAGRAPH MAY BE SUBJECT TO ANNUAL
 DEDUCTIBLES AND CO-INSURANCE AS DEEMED APPROPRIATE  BY  THE  SUPERINTEN-
 DENT.
   § 2. Subsection (l) of section 3221 of the insurance law is amended by
 adding a new paragraph 21 to read as follows:
   (21)  (A) EVERY POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR
 COMPREHENSIVE-TYPE COVERAGE, OR COVERAGE  FOR  PRESCRIPTION  DRUGS  MUST
 PROVIDE  COVERAGE  OF  OPIOID  MEDICATIONS  AND PRESCRIPTION DRUGS. SUCH
 COVERAGE SHALL CONTINUE TO BE PROVIDED DURING THE ENTIRE PERIOD OF  TIME
 THE  MEDICATIONS  AND DRUGS ARE PRESCRIBED OR ADMINISTERED BY AN AUTHOR-
 IZED PRESCRIBER OR ADMINISTRATOR. SUCH COVERAGE SHALL NOT REQUIRE  PRIOR
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

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