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NY A07522
Bill
Status
Introduced
4/1/2025
Primary Sponsor
Charles Lavine
Click for details
AI Summary
- Prohibits insurance policies from applying fail-first or step therapy protocols to prescription drugs for serious mental health conditions
- Prohibits prior authorization requirements for drugs prescribed for serious mental health conditions
- Defines "serious mental health condition" to include neurodevelopmental disorders, schizophrenia spectrum and psychotic disorders, bipolar disorders, depressive disorders, anxiety disorders, obsessive-compulsive disorders, trauma-and-stressor-related disorders, neurodegenerative disorders, and substance-related and addictive disorders
- Requires outpatient mental health coverage to include outpatient drug coverage when policies cover physician services
- Applies to individual policies, group policies, and health maintenance organization contracts issued, renewed, or modified on or after January 1 following enactment
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
1/7/2026
Committee Referrals
Insurance4/1/2025
Full Bill Text
No bill text available