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NY A01921
Bill
Status
1/14/2025
Primary Sponsor
Amy Paulin
Click for details
AI Summary
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Requires all health insurance policies that cover pain management services to provide outpatient coverage for non-opioid chronic pain treatments, including complementary and integrative treatments and FDA-approved non-opioid drugs for acute or chronic pain
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Prohibits insurers from applying more restrictive financial requirements (deductibles, copays, coinsurance) or treatment limitations to non-opioid pain treatments than those applied to the majority of medical benefits or to opioid-based treatments
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Bans insurers from designating non-opioid pain drugs as "non-preferred" if any opioid drug is designated as "preferred," and prohibits more restrictive prior authorization or step therapy requirements for non-opioid drugs than for opioids
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Defines chronic pain as pain persisting or recurring for more than three months, and acute pain as pain reasonably expected to last only a short period
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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, effective January 1 following enactment
Legislative Description
Provides outpatient insurance coverage for non-pharmacological treatments and non-opioid drugs for chronic pain.
Last Action
print number 1921b
1/23/2026