Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
May 07, 2025 |
amended on third reading 4867a |
Mar 26, 2025 |
advanced to third reading |
Mar 25, 2025 |
2nd report cal. |
Mar 24, 2025 |
1st report cal.583 |
Feb 13, 2025 |
referred to insurance |
Senate Bill S4867A
2025-2026 Legislative Session
Sponsored By
(D, WF) 46th Senate District
Current Bill Status - On Floor Calendar
- 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
Votes
Bill Amendments
co-Sponsors
(D, WF) 31st Senate District
(D, WF) 52nd Senate District
2025-S4867 - Details
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in 2023-2024 Legislative Session:
-
S6688
2025-S4867 - Sponsor Memo
BILL NUMBER: S4867 SPONSOR: FAHY TITLE OF BILL: An act to amend the insurance law, in relation to prohibiting the appli- cation of fail-first or step therapy protocols to coverage for the diag- nosis and treatment of serious mental health conditions PURPOSE: This bill would prohibit the application of fail-first or step therapy protocols or prior authorization requirements to coverage for the diag- nosis and treatment of serious mental health conditions. SUMMARY OF SPECIFIC PROVISIONS: Section one would amend subsection (i) of section 3216 of the insurance law to prohibit the application of any fail-first or step therapy proto- col or the implementation of prior authorization requirements to drug coverage for treatment of serious mental health conditions provided by individual accident and health insurance policies. Serious Mental Health
2025-S4867 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4867 2025-2026 Regular Sessions I N S E N A T E February 13, 2025 ___________ Introduced by Sen. FAHY -- 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 prohibiting the appli- cation of fail-first or step therapy protocols to coverage for the diagnosis and treatment of serious mental health conditions THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Item (ii) of subparagraph (A) and subparagraphs (C) and (E) of paragraph 35 of subsection (i) of section 3216 of the insurance law, item (ii) of subparagraph (A) as amended by chapter 62 of the laws of 2023 and subparagraphs (C) and (E) as added by section 8 of subpart A of part BB of chapter 57 of the laws of 2019, are amended to read as follows: (ii) where the policy provides coverage for physician services, such policy shall include benefits for outpatient care provided by a psychia- trist or psychologist licensed to practice in this state, a licensed clinical social worker within the lawful scope of [his or her] THEIR practice, who is licensed pursuant to article one hundred fifty-four of the education law, a mental health counselor, marriage and family thera- pist, or psychoanalyst licensed pursuant to article one hundred sixty- three of the education law, a nurse practitioner licensed to practice in this state, or a professional corporation or university faculty practice corporation thereof, INCLUDING OUTPATIENT DRUG COVERAGE. Nothing herein shall be construed to modify or expand the scope of practice of a mental health counselor, marriage and family therapist, or psychoanalyst licensed pursuant to article one hundred sixty-three of the education law. Further, nothing herein shall be construed to create a new mandated health benefit. (C) Coverage under this paragraph shall not apply financial require- ments or treatment limitations to mental health benefits, INCLUDING OUTPATIENT DRUG COVERAGE, that are more restrictive than the predominant EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09475-01-5
co-Sponsors
(D, WF) 31st Senate District
(D, WF) 52nd Senate District
2025-S4867A (ACTIVE) - Details
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in 2023-2024 Legislative Session:
-
S6688
2025-S4867A (ACTIVE) - Sponsor Memo
BILL NUMBER: S4867A SPONSOR: FAHY TITLE OF BILL: An act to amend the insurance law, in relation to prohibiting the appli- cation of fail-first or step therapy protocols to coverage for the diag- nosis and treatment of serious mental health conditions PURPOSE: This bill would prohibit the application of fail-first or step therapy protocols or prior authorization requirements to coverage for the diag- nosis and treatment of serious mental health conditions. SUMMARY OF SPECIFIC PROVISIONS: Section one would amend subsection (i) of section 3216 of the insurance law to prohibit the application of any fail-first or step therapy proto- col or the implementation of prior authorization requirements to drug coverage for treatment of serious mental health conditions provided by individual accident and health insurance policies. Serious Mental Health
2025-S4867A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4867--A Cal. No. 583 2025-2026 Regular Sessions I N S E N A T E February 13, 2025 ___________ Introduced by Sens. FAHY, JACKSON, WEBB -- read twice and ordered print- ed, and when printed to be committed to the Committee on Insurance -- reported favorably from said committee, ordered to first and second report, ordered to a third reading, amended and ordered reprinted, retaining its place in the order of third reading AN ACT to amend the insurance law, in relation to prohibiting the appli- cation of fail-first or step therapy protocols to coverage for the diagnosis and treatment of serious mental health conditions THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Item (ii) of subparagraph (A) and subparagraphs (C) and (E) of paragraph 35 of subsection (i) of section 3216 of the insurance law, item (ii) of subparagraph (A) as amended by chapter 62 of the laws of 2023 and subparagraphs (C) and (E) as added by section 8 of subpart A of part BB of chapter 57 of the laws of 2019, are amended to read as follows: (ii) where the policy provides coverage for physician services, such policy shall include benefits for outpatient care provided by a psychia- trist or psychologist licensed to practice in this state, a licensed clinical social worker within the lawful scope of [his or her] THEIR practice, who is licensed pursuant to article one hundred fifty-four of the education law, a mental health counselor, marriage and family thera- pist, or psychoanalyst licensed pursuant to article one hundred sixty- three of the education law, a nurse practitioner licensed to practice in this state, or a professional corporation or university faculty practice corporation thereof, INCLUDING OUTPATIENT DRUG COVERAGE. Nothing herein shall be construed to modify or expand the scope of practice of a mental health counselor, marriage and family therapist, or psychoanalyst licensed pursuant to article one hundred sixty-three of the education law. Further, nothing herein shall be construed to create a new mandated health benefit. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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