Bill Text: NY S03419 | 2015-2016 | General Assembly | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Relates to expedited utilization review of prescription drugs.

Spectrum: Slight Partisan Bill (Democrat 11-7)

Status: (Passed) 2016-12-31 - SIGNED CHAP.512 [S03419 Detail]

Download: New_York-2015-S03419-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         3419--B
                               2015-2016 Regular Sessions
                    IN SENATE
                                    February 9, 2015
                                       ___________
        Introduced  by  Sens.  YOUNG,  AVELLA, BRESLIN, CARLUCCI, GOLDEN, LANZA,
          LARKIN, LAVALLE, MARCHIONE, PARKER, PERKINS, RIVERA, SAVINO, SQUADRON,
          VALESKY -- read twice and ordered printed,  and  when  printed  to  be
          committed  to the Committee on Insurance -- committee discharged, bill
          amended, ordered reprinted as amended and recommitted to said  commit-
          tee  --  recommitted  to the Committee on Insurance in accordance with
          Senate Rule 6, sec. 8 -- committee discharged, bill  amended,  ordered
          reprinted as amended and recommitted to said committee
        AN ACT to amend the insurance law, in relation to the regulation of step
          therapy policies
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Legislative findings.  The  legislature  hereby  finds  and
     2  declares that:
     3    (a) Health insurance plans are increasingly making use of step therapy
     4  protocols  under  which  patients  are  required  to  try  one  or  more
     5  prescription drugs before coverage is provided for a  drug  selected  by
     6  the patient's health care provider.
     7    (b)  The  legislature  further finds that such step therapy protocols,
     8  where they are based on well-developed scientific standards and adminis-
     9  tered in a flexible manner that takes into account the individual  needs
    10  of  patients,  can  play  an  important  role in controlling health care
    11  costs.
    12    (c) The legislature further finds that, in  some  cases,  requiring  a
    13  patient  to  follow  a  step  therapy protocol may have adverse and even
    14  dangerous consequences for the patient who may  not  realize  a  benefit
    15  from  taking a prescription drug or may suffer harm from taking an inap-
    16  propriate drug.
    17    (d) The legislature further finds that, without  uniform  policies  in
    18  the  state for step therapy protocols, patients may not receive the best
    19  and most appropriate treatment.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03838-04-6