Assembly Bill A1326

Signed By Governor
2023-2024 Legislative Session

Relates to requiring insurance coverage by certain large group policies for pre-exposure prophylaxis and post-exposure prophylaxis to prevent HIV infection

download bill text pdf

Sponsored By

Current Bill Status Via S825 - Signed by Governor

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2023-A1326 (ACTIVE) - Details

See Senate Version of this Bill:
S825
Law Section:
Insurance Law
Laws Affected:
Amd §§3221 & 4303, rpld §3216 sub§ (i) ¶36, Ins L; amd §4, Chap of 2022 (as proposed in S.688 & A.807)

2023-A1326 (ACTIVE) - Summary

Relates to requiring insurance coverage by every large group policy which provides medical, major medical, or comprehensive-type coverage for pre-exposure prophylaxis and post-exposure prophylaxis to prevent HIV infection.

2023-A1326 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1326
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 17, 2023
                                ___________
 
 Introduced  by  M.  of  A.  O'DONNELL  --  read once and referred to the
   Committee on Insurance
 
 AN ACT to amend the insurance law,  in  relation  to  applying  coverage
   requirements for pre-exposure prophylaxis and post-exposure prophylax-
   is to prevent HIV infection to every large group policy which provides
   medical,  major medical, or comprehensive-type coverage, and repealing
   certain provisions of such law relating thereto; and to amend a  chap-
   ter of the laws of 2022 amending the insurance law relating to requir-
   ing  insurance coverage for pre-exposure prophylaxis and post-exposure
   prophylaxis to prevent HIV infection, as proposed in legislative bills
   numbers S. 688 and A. 807, in relation to the effectiveness thereof
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  21  of  subsection  (l) of section 3221 of the
 insurance law, as added by a chapter of the laws of  2022  amending  the
 insurance  law relating to requiring insurance coverage for pre-exposure
 prophylaxis and post-exposure prophylaxis to prevent HIV  infection,  as
 proposed  in  legislative bills numbers S. 688 and A. 807, is amended to
 read as follows:
   (21) Every LARGE GROUP policy which provides MEDICAL,  MAJOR  MEDICAL,
 OR  COMPREHENSIVE-TYPE  coverage  [for prescription drugs] shall include
 coverage for  the  cost  of  pre-exposure  prophylaxis  (PrEP)  for  the
 prevention   of   HIV  and  post-exposure  prophylaxis  to  prevent  HIV
 infection. SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND  COIN-
 SURANCE  AS  MAY  BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE
 CONSISTENT WITH THOSE ESTABLISHED FOR  OTHER  BENEFITS  WITHIN  A  GIVEN
 POLICY,  UNLESS  THE  PRE-EXPOSURE  PROPHYLAXIS  (PREP) OR POST-EXPOSURE
 PROPHYLAXIS HAS IN EFFECT A RATING OF 'A' OR 'B' IN THE  CURRENT  RECOM-
 MENDATIONS OF THE UNITED STATES PREVENTIVE SERVICES TASK FORCE.
   § 2. Subsection (ss) of section 4303 of the insurance law, as added by
 a  chapter  of  the  laws of 2022 amending the insurance law relating to
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD04008-01-3

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