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NY A06704
Bill
Status
5/5/2023
Primary Sponsor
Aileen Gunther
Click for details
AI Summary
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Prohibits insurance policies and contracts from applying fail-first or step therapy protocols to mental health condition coverage, including outpatient drug coverage.
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Removes the definition of fail-first or step therapy protocols from the list of permissible treatment limitations for mental health benefits in insurance law.
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Applies to individual health insurance policies, group policies, school blanket policies, and health maintenance organization contracts.
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Requires mental health benefits, including drug coverage, to follow the same financial requirements and treatment limitations as medical and surgical benefits under the policy.
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Takes effect immediately upon enactment and applies to all policies and contracts issued, renewed, modified, altered, or amended on or after the effective date.
Legislative Description
Prohibits the application of fail-first or step therapy protocols to coverage for the diagnosis and treatment of mental health conditions.
Last Action
referred to insurance
1/3/2024