Senate Bill S1804A

2025-2026 Legislative Session

Requires insurance coverage for certain inhalers at no cost

download bill text pdf

Sponsored By

Current Bill Status - In Senate Committee Insurance 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

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Bill Amendments

co-Sponsors

2025-S1804 - Details

See Assembly Version of this Bill:
A128
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2023-2024 Legislative Session:
S9906, A10692

2025-S1804 - Summary

Requires insurance coverage for one rescue and one maintenance inhaler at no cost.

2025-S1804 - Sponsor Memo

2025-S1804 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1804
 
                        2025-2026 Regular Sessions
 
                             I N  S E N A T E
 
                             January 13, 2025
                                ___________
 
 Introduced  by  Sens. RIVERA, ADDABBO -- 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 coverage  of
   asthma inhalers at no cost
 
   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 WHICH PROVIDES MEDICAL COVERAGE THAT INCLUDES
 COVERAGE FOR PHYSICIAN SERVICES IN A PHYSICIAN'S OFFICE AND EVERY POLICY
 WHICH PROVIDES MAJOR  MEDICAL  OR  SIMILAR  COMPREHENSIVE-TYPE  COVERAGE
 SHALL  INCLUDE  COVERAGE  FOR  INHALERS  FOR  THE TREATMENT OF ASTHMA IF
 RECOMMENDED OR PRESCRIBED BY A PHYSICIAN OR OTHER LICENSED  HEALTH  CARE
 PROVIDER LEGALLY AUTHORIZED TO PRESCRIBE UNDER TITLE EIGHT OF THE EDUCA-
 TION LAW.
   (B)  SUCH  COVERAGE  SHALL  NOT BE SUBJECT TO A DEDUCTIBLE, COPAYMENT,
 COINSURANCE OR ANY OTHER COST-SHARING REQUIREMENT.
   § 2. Subsection (l) of section 3221 of the insurance law is amended by
 adding a new paragraph 23 to read as follows:
   (23) (A) EVERY GROUP OR BLANKET ACCIDENT AND HEALTH  INSURANCE  POLICY
 ISSUED  OR  ISSUED  FOR  DELIVERY  IN  THIS STATE WHICH PROVIDES MEDICAL
 COVERAGE THAT INCLUDES COVERAGE FOR PHYSICIAN SERVICES IN A  PHYSICIAN'S
 OFFICE  AND EVERY POLICY WHICH PROVIDES MAJOR MEDICAL OR SIMILAR COMPRE-
 HENSIVE-TYPE COVERAGE SHALL INCLUDE COVERAGE FOR INHALERS FOR THE TREAT-
 MENT OF ASTHMA IF RECOMMENDED OR PRESCRIBED  BY  A  PHYSICIAN  OR  OTHER
 LICENSED  HEALTH  CARE  PROVIDER  LEGALLY  AUTHORIZED TO PRESCRIBE UNDER
 TITLE EIGHT OF THE EDUCATION LAW.
   (B) SUCH COVERAGE SHALL NOT BE SUBJECT  TO  A  DEDUCTIBLE,  COPAYMENT,
 COINSURANCE OR ANY OTHER COST-SHARING REQUIREMENT.
   §  3.  Section  4303  of  the insurance law is amended by adding a new
 subsection (ww) to read as follows:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD00983-01-5
              

co-Sponsors

2025-S1804A (ACTIVE) - Details

See Assembly Version of this Bill:
A128
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2023-2024 Legislative Session:
S9906, A10692

2025-S1804A (ACTIVE) - Summary

Requires insurance coverage for one rescue and one maintenance inhaler at no cost.

2025-S1804A (ACTIVE) - Sponsor Memo

2025-S1804A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  1804--A
 
                        2025-2026 Regular Sessions
 
                             I N  S E N A T E
 
                             January 13, 2025
                                ___________
 
 Introduced by Sens. RIVERA, ADDABBO, GONZALEZ, JACKSON -- read twice and
   ordered  printed, and when printed to be committed 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 requiring coverage of
   certain asthma inhalers at no cost
 
   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 41 to read as follows:
   (41) (A) EVERY POLICY WHICH PROVIDES MEDICAL, MAJOR MEDICAL OR SIMILAR
 COMPREHENSIVE-TYPE COVERAGE AND PROVIDES COVERAGE FOR PRESCRIPTION DRUGS
 SHALL INCLUDE COVERAGE FOR INHALERS  FOR  THE  TREATMENT  OF  ASTHMA  IF
 PRESCRIBED BY A PHYSICIAN OR OTHER LICENSED HEALTH CARE PROVIDER LEGALLY
 AUTHORIZED TO PRESCRIBE UNDER TITLE EIGHT OF THE EDUCATION LAW.
   (B)  COVERAGE SHALL BE PROVIDED FOR ONE FORM OF RESCUE AND ONE FORM OF
 MAINTENANCE INHALER THAT SHALL NOT BE SUBJECT TO  A  DEDUCTIBLE,  COPAY-
 MENT, COINSURANCE OR ANY OTHER COST-SHARING REQUIREMENT.
   (C)  IF  THE  POLICY  IS  A  HIGH DEDUCTIBLE HEALTH PLAN AS DEFINED IN
 SECTION 223(C)(2) OF THE INTERNAL REVENUE CODE OF  1986,  SUCH  COVERAGE
 MAY  BE  SUBJECT  TO THE PLAN'S ANNUAL DEDUCTIBLE IF APPLICATION OF THIS
 REQUIREMENT WOULD RESULT IN INELIGIBILITY FOR A HEALTH SAVINGS ACCOUNT.
   § 2. Subsection (l) of section 3221 of the insurance law is amended by
 adding a new paragraph 23 to read as follows:
   (23) (A) EVERY GROUP OR BLANKET ACCIDENT AND HEALTH  INSURANCE  POLICY
 ISSUED  OR  ISSUED  FOR  DELIVERY  IN THIS STATE WHICH PROVIDES MEDICAL,
 MAJOR MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE AND PROVIDES COVER-
 AGE FOR PRESCRIPTION DRUGS SHALL INCLUDE COVERAGE FOR INHALERS  FOR  THE
 TREATMENT  OF  ASTHMA  IF  PRESCRIBED  BY  A PHYSICIAN OR OTHER LICENSED
 HEALTH CARE PROVIDER LEGALLY AUTHORIZED TO PRESCRIBE UNDER  TITLE  EIGHT
 OF THE EDUCATION LAW.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD00983-05-5
              

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