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NY A07522
Bill
Status
5/25/2023
Primary Sponsor
Aileen Gunther
Click for details
AI Summary
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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.
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Eliminates prior authorization requirements for drugs prescribed for serious mental health conditions as established under Insurance Law section 4903(h).
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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.
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Extends outpatient drug coverage to mental health benefits under individual and group health insurance policies and HMO contracts.
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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