Bill Text: NY A07979 | 2017-2018 | General Assembly | Amended

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Bill Title: Prohibits certain insurance policies from requiring prior authorization for buprenorphine products, methadone and long acting injectable naltrexone for detoxification or maintenance treatment of substance use disorders.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Engrossed - Dead) 2018-03-26 - REFERRED TO INSURANCE [A07979 Detail]

Download: New_York-2017-A07979-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         7979--A
                               2017-2018 Regular Sessions
                   IN ASSEMBLY
                                      May 23, 2017
                                       ___________
        Introduced  by M. of A. QUART -- read once and referred to the Committee
          on Insurance -- committee discharged, bill amended, ordered  reprinted
          as amended and recommitted to said committee
        AN  ACT  to  amend the insurance law, in relation to prohibiting certain
          insurance policies from  requiring  prior  authorization  for  certain
          medications  used  in the treatment of substance use disorders; and to
          repeal certain provisions of such law relating thereto
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  Paragraph  31-a  of subsection (i) of section 3216 of the
     2  insurance law is REPEALED and a new paragraph 31-a is added to  read  as
     3  follows:
     4    (31-a)  (A)  No policy that provides medical, major medical or similar
     5  comprehensive-type coverage and provides coverage for prescription drugs
     6  for medication for the treatment  of  a  substance  use  disorder  shall
     7  require  prior  authorization for an initial or renewal prescription for
     8  all buprenorphine products, methadone or long acting injectable naltrex-
     9  one for detoxification or  maintenance  treatment  of  a  substance  use
    10  disorder except where otherwise prohibited by law.
    11    (B)  Coverage  provided  under this paragraph may be subject to copay-
    12  ments, coinsurance, and annual  deductibles  that  are  consistent  with
    13  those imposed on other benefits within the policy.
    14    §  2.  Paragraphs 7-a and 7-b of subsection (l) of section 3221 of the
    15  insurance law are REPEALED and a new paragraph 7-a is added to  read  as
    16  follows:
    17    (7-a) (A) Every policy that provides medical, major medical or similar
    18  comprehensive-type large group coverage shall provide immediate coverage
    19  for  all  buprenorphine  products,  methadone  or long acting injectable
    20  naltrexone without prior authorization for the detoxification or mainte-
    21  nance treatment of a substance use disorder.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11793-02-7
        A. 7979--A                          2
     1    (B) Coverage provided under this paragraph may be  subject  to  copay-
     2  ments,  coinsurance,  and  annual  deductibles  that are consistent with
     3  those imposed on other benefits within the policy.
     4    §  3. Subsections (l-1) and (l-2) of section 4303 of the insurance law
     5  are REPEALED and a new subsection (l-1) is added to read as follows:
     6    (l-1) (A) Every contract that  provides  medical,  major  medical,  or
     7  similar  comprehensive-type large group coverage shall provide immediate
     8  coverage for  all  buprenorphine  products,  methadone  or  long  acting
     9  injectable naltrexone without prior authorization for the detoxification
    10  or maintenance treatment of a substance use disorder.
    11    (B)  Coverage  provided  under this paragraph may be subject to copay-
    12  ments, coinsurance, and annual  deductibles  that  are  consistent  with
    13  those imposed on other benefits within the policy.
    14    §  4.  This  act  shall take effect on the sixtieth day after it shall
    15  have become a law.