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Senate Bill S8193

2021-2022 Legislative Session

Relates to the applicability of step therapy to certain medically necessary prescription drugs

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Archive: Last Bill Status - In Senate Committee Insurance Committee

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2021-S8193 (ACTIVE) - Details

See Assembly Version of this Bill:
A9250
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §4902, Ins L; amd §4902, Pub Health L
Versions Introduced in 2023-2024 Legislative Session:
S2682, A582

2021-S8193 (ACTIVE) - Summary

Ensures that step therapy shall not apply to medically necessary prescription drugs in the dermatologic, hematology, ophthalmologic, rheumatic, gastrointestinal, neurology, and oncology therapeutic classes, including non-formulary drugs.

2021-S8193 (ACTIVE) - Sponsor Memo

2021-S8193 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8193
 
                             I N  S E N A T E
 
                             February 1, 2022
                                ___________
 
 Introduced  by  Sen. BRESLIN -- read twice and ordered printed, and when
   printed to be committed to the Committee on Insurance
 
 AN ACT to amend the insurance law and the public health law, in relation
   to protecting certain therapeutic classes from step therapy
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.    Subsection  (a) of section 4902 of the insurance law is
 amended by adding a new paragraph 14 to read as follows:
   (14) WHEN ESTABLISHING A STEP THERAPY PROTOCOL, A  UTILIZATION  REVIEW
 AGENT  SHALL  ENSURE  THAT  SUCH  PROTOCOL  SHALL NOT APPLY TO MEDICALLY
 NECESSARY PRESCRIPTION DRUGS IN THE DERMATOLOGIC, HEMATOLOGY, OPHTHALMO-
 LOGIC, RHEUMATIC, GASTROINTESTINAL, NEUROLOGY, AND ONCOLOGY  THERAPEUTIC
 CLASSES, INCLUDING NON-FORMULARY DRUGS.
   §  2. Section 4902 of the public health law is amended by adding a new
 subdivision 5 to read as follows:
   5. WHEN ESTABLISHING A STEP THERAPY  PROTOCOL,  A  UTILIZATION  REVIEW
 AGENT  SHALL  ENSURE  THAT  SUCH  PROTOCOL  SHALL NOT APPLY TO MEDICALLY
 NECESSARY PRESCRIPTION DRUGS IN THE DERMATOLOGIC, HEMATOLOGY, OPHTHALMO-
 LOGIC, RHEUMATIC, GASTROINTESTINAL, NEUROLOGY, AND ONCOLOGY  THERAPEUTIC
 CLASSES, INCLUDING NON-FORMULARY DRUGS.
   § 3. This act shall take effect immediately.
 
 
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD14452-01-2

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