Bill Text: NY S08193 | 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) 2022-02-01 - REFERRED TO INSURANCE [S08193 Detail]

Download: New_York-2021-S08193-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          8193

                    IN SENATE

                                    February 1, 2022
                                       ___________

        Introduced  by  Sen. BRESLIN -- read twice and ordered printed, and when
          printed to be committed to the Committee 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