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NY A07522

Bill

Status

Introduced

5/25/2023

Primary Sponsor

Aileen Gunther

Click for details

Origin

Assembly

2023-2024 General Assembly

AI Summary

  • Prohibits insurance companies from applying fail-first or step therapy protocols to drugs prescribed for serious mental health conditions under health insurance policies and contracts.

  • Eliminates prior authorization requirements for drugs prescribed for serious mental health conditions as established under Insurance Law section 4903(h).

  • Defines "serious mental health condition" to include bipolar disorders, depression in childhood and adolescence, major depressive disorders, obsessive-compulsive disorders, paranoid and other psychotic disorders, schizoaffective disorders, and schizophrenia.

  • Extends outpatient drug coverage to mental health benefits under individual and group health insurance policies and HMO contracts.

  • Takes effect on January 1 following enactment and applies to all policies and contracts issued, renewed, modified, altered, or amended on or after that date.

Legislative Description

Prohibits the application of fail-first or step therapy protocols to coverage for the diagnosis and treatment of serious mental health conditions; defines serious mental health condition.

Last Action

referred to insurance

1/3/2024

Committee Referrals

Insurance5/25/2023

Full Bill Text

No bill text available