Bill Text: NY A09250 | 2021-2022 | General Assembly | Introduced

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Bill Title: Ensures that step therapy shall not apply to medically necessary prescription drugs in the dermatologic, hematology, ophthalmologic, rheumatic, gastrointestinal, neurology, and oncology therapeutic classes, including non-formulary drugs.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2022-02-09 - referred to insurance [A09250 Detail]

Download: New_York-2021-A09250-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          9250

                   IN ASSEMBLY

                                    February 9, 2022
                                       ___________

        Introduced by M. of A. McDONALD -- read once and referred to the Commit-
          tee on Insurance

        AN ACT to amend the insurance law and the public health law, in relation
          to protecting certain therapeutic classes from step therapy

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1.  Subsection (a) of section 4902 of  the  insurance  law  is
     2  amended by adding a new paragraph 14 to read as follows:
     3    (14)  When  establishing a step therapy protocol, a utilization review
     4  agent shall ensure that such  protocol  shall  not  apply  to  medically
     5  necessary prescription drugs in the dermatologic, hematology, ophthalmo-
     6  logic,  rheumatic, gastrointestinal, neurology, and oncology therapeutic
     7  classes, including non-formulary drugs.
     8    § 2. Section 4902 of the public health law is amended by adding a  new
     9  subdivision 5 to read as follows:
    10    5.  When  establishing  a  step therapy protocol, a utilization review
    11  agent shall ensure that such  protocol  shall  not  apply  to  medically
    12  necessary prescription drugs in the dermatologic, hematology, ophthalmo-
    13  logic,  rheumatic, gastrointestinal, neurology, and oncology therapeutic
    14  classes, including non-formulary drugs.
    15    § 3. This act shall take effect immediately.





         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14452-01-2