Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
May 21, 2025 |
print number 1921a |
May 21, 2025 |
amend (t) and recommit to insurance |
Jan 14, 2025 |
referred to insurance |
Assembly Bill A1921A
2025-2026 Legislative Session
Sponsored By
PAULIN
Current Bill Status - In Assembly Committee
- 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
Actions
Bill Amendments
co-Sponsors
Dana Levenberg
2025-A1921 - Details
- Current Committee:
- Assembly Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in 2023-2024 Legislative Session:
-
A9716
2025-A1921 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 1921 2025-2026 Regular Sessions I N A S S E M B L Y January 14, 2025 ___________ Introduced by M. of A. PAULIN -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to providing insurance coverage for chronic pain 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 40 to read as follows: (40) (A) EVERY POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR COMPREHENSIVE-TYPE COVERAGE THAT PROVIDES COVERAGE FOR PAIN MANAGEMENT SERVICES SHALL PROVIDE OUTPATIENT COVERAGE FOR NON-OPIOID TREATMENT OF CHRONIC PAIN INCLUDING COMPLEMENTARY AND INTEGRATIVE TREATMENTS. ACCESS TO NON-OPIOID TREATMENT SHALL BE COMPARABLE TO THAT OF OTHER COVERED SERVICES. COVERAGE SHALL BE COMPARABLE FOR SERVICES PROVIDED BY LICENSED PROFESSIONALS. (B) COVERAGE UNDER THIS SUBSECTION SHALL NOT APPLY FINANCIAL REQUIRE- MENTS OR TREATMENT LIMITATIONS TO NON-OPIOID TREATMENT OF CHRONIC PAIN THAT ARE MORE RESTRICTIVE THAN EITHER OF THE FOLLOWING: THE PREDOMINANT FINANCIAL REQUIREMENTS AND TREATMENT LIMITATIONS APPLIED TO SUBSTANTIAL- LY ALL MEDICAL BENEFITS COVERED BY THE CONTRACT; AND THE FINANCIAL REQUIREMENTS AND TREATMENT LIMITATIONS APPLIED TO ANY OPIOID-BASED TREATMENT OF CHRONIC PAIN. (C) FOR THE PURPOSES OF THIS PARAGRAPH THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANINGS: (I) "FINANCIAL REQUIREMENT" MEANS DEDUCTIBLE, CO-PAYMENTS, CO-INSU- RANCE AND OUT-OF-POCKET EXPENSES; (II) "PREDOMINANT" MEANS THAT A FINANCIAL REQUIREMENT OR TREATMENT LIMITATION IS THE MOST COMMON OR FREQUENT OF SUCH TYPE OF LIMIT OR REQUIREMENT; (III) "TREATMENT LIMITATION" MEANS LIMITS ON THE FREQUENCY OF TREAT- MENT, NUMBER OF VISITS, DAYS OF COVERAGE, OR OTHER SIMILAR LIMITS ON THE EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD05350-01-5
co-Sponsors
Dana Levenberg
2025-A1921A (ACTIVE) - Details
- Current Committee:
- Assembly Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in 2023-2024 Legislative Session:
-
A9716
2025-A1921A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 1921--A 2025-2026 Regular Sessions I N A S S E M B L Y January 14, 2025 ___________ Introduced by M. of A. PAULIN, LEVENBERG -- 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 providing insurance coverage for non-opioid treatment of chronic pain 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 40 to read as follows: (40) (A) EVERY POLICY THAT PROVIDES MEDICAL, MAJOR MEDICAL, OR SIMILAR COMPREHENSIVE-TYPE COVERAGE THAT PROVIDES COVERAGE FOR PAIN MANAGEMENT SERVICES SHALL PROVIDE OUTPATIENT COVERAGE FOR NON-OPIOID TREATMENT OF CHRONIC PAIN INCLUDING COMPLEMENTARY AND INTEGRATIVE TREATMENTS AND NON-OPIOID DRUGS APPROVED BY THE UNITED STATES FOOD AND DRUG ADMINIS- TRATION (FDA) FOR THE TREATMENT OF ACUTE OR CHRONIC PAIN. ACCESS TO NON-OPIOID TREATMENT SHALL BE COMPARABLE TO THAT OF OTHER COVERED SERVICES. COVERAGE SHALL BE COMPARABLE FOR SERVICES PROVIDED BY LICENSED PROFESSIONALS. (B) COVERAGE UNDER THIS SUBSECTION SHALL NOT APPLY FINANCIAL REQUIRE- MENTS OR TREATMENT LIMITATIONS TO NON-OPIOID TREATMENT OF CHRONIC PAIN THAT ARE MORE RESTRICTIVE THAN EITHER OF THE FOLLOWING: THE PREDOMINANT FINANCIAL REQUIREMENTS AND TREATMENT LIMITATIONS APPLIED TO SUBSTANTIAL- LY ALL MEDICAL BENEFITS COVERED BY THE CONTRACT; AND THE FINANCIAL REQUIREMENTS AND TREATMENT LIMITATIONS APPLIED TO ANY OPIOID-BASED TREATMENT OF CHRONIC PAIN. COVERAGE UNDER THIS PARAGRAPH SHALL NOT DISADVANTAGE OR DISCOURAGE ANY NON-OPIOID DRUG APPROVED BY THE UNITED STATES FOOD AND DRUG ADMINISTRATION (FDA) FOR THE TREATMENT OF CHRONIC OR ACUTE PAIN RELATIVE TO ANY OPIOID DRUG FOR THE TREATMENT OF CHRONIC OR ACUTE PAIN, WHERE IMPERMISSIBLE DISADVANTAGING OR DISCOURAGEMENT INCLUDES, WITHOUT LIMITATION: DESIGNATING ANY SUCH NON-OPIOID DRUG AS A NON-PREFERRED DRUG IF ANY OPIOID OR NARCOTIC DRUG IS DESIGNATED AS A EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD05350-02-5
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