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NY A03718

Bill

Status

Introduced

1/26/2011

Primary Sponsor

Peter Rivera

Click for details

Origin

Assembly

2011-2012 General Assembly

AI Summary

  • Requires all individual health insurance policies providing prescription drug coverage to ensure continuous coverage of single source drugs as part of prescribed therapy until treatment is no longer medically necessary

  • Applies same continuous coverage requirement to group health insurance policies with prescription drug benefits

  • Extends requirement to health service corporations and medical expense indemnity corporations issuing contracts with prescription drug coverage

  • Defines "drug" to include FDA-approved prescription drugs, legally marketed drugs in the United States, and mechanical devices needed to apply drugs such as insulin syringes and needles

  • Takes effect on the first calendar month following the sixtieth day after enactment and applies only to policies and contracts issued, renewed, or amended on or after the effective date

Legislative Description

Provides that every insurance policy which provides coverage for prescription drugs shall ensure that there is continuous coverage of a single source drug that is part of a prescribed therapy until such prescribed therapy is no longer medically necessary for the enrollee of such policy.

Last Action

enacting clause stricken

9/4/2012

Committee Referrals

Insurance1/26/2011

Full Bill Text

No bill text available