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NY A01815
Bill
Status
1/14/2025
Primary Sponsor
Phillip Steck
Click for details
AI Summary
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Mandates all health insurance policies providing medical or major medical coverage to include coverage for non-opioid pain management treatments
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Defines covered non-opioid treatments as drugs or biological products that produce analgesia without acting on opioid receptors and have demonstrated ability to replace, reduce, or avoid opioid use
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Includes coverage for implantable, reusable, or disposable medical devices intended for pain management that can reduce or replace opioid prescriptions
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Applies to individual policies, group/blanket policies, and contracts issued by hospital service corporations, health service corporations, and medical expense indemnity corporations
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Requires the Commissioner of Social Services to establish standards and guidelines for non-opioid pain treatments under the Medicaid program, in consultation with providers and interested parties
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Takes effect 120 days after becoming law and applies to policies issued, renewed, or modified after that date
Legislative Description
Requires health insurers to provide coverage for non-opioid treatments utilized for pain management including, but not limited to a drug or biological product that is indicated to produce analgesia without acting upon the body's opioid receptors that has demonstrated the ability to replace, reduce, or avoid opioid use or the quantity of opioids prescribed; or an implantable, reusable, or disposable medical device for the intended use of managing or treating pain that has demonstrated the ability to replace, reduce, or avoid opioid use or the quantity of opioids prescribed.
Last Action
referred to insurance
1/7/2026