A04899 Summary:

BILL NOA04899C
 
SAME ASSAME AS S07905-A
 
SPONSORRosenthal L
 
COSPNSRBrindisi, Hunter, Galef
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L
 
Requires insurers providing coverage of prescription drugs for opioid addiction, to provide coverage of such prescription drugs prescribed for the treatment of substance abuse disorder.
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A04899 Actions:

BILL NOA04899C
 
02/06/2017referred to insurance
01/03/2018referred to insurance
04/06/2018amend and recommit to insurance
04/06/2018print number 4899a
06/01/2018amend (t) and recommit to insurance
06/01/2018print number 4899b
06/06/2018reported referred to codes
06/11/2018reported referred to ways and means
06/15/2018amend and recommit to ways and means
06/15/2018print number 4899c
06/18/2018reported referred to rules
06/18/2018reported
06/18/2018rules report cal.296
06/18/2018ordered to third reading rules cal.296
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A04899 Committee Votes:

INSURANCE Chair:Cahill DATE:06/06/2018AYE/NAY:17/7 Action: Favorable refer to committee Codes
CahillAyeBarclayNay
CookAyeButlerNay
PretlowExcusedHawleyNay
RiveraAyeBlankenbushNay
CymbrowitzAyeCurranNay
LavineAyeWalterNay
HevesiAyeGarbarinoNay
SkoufisAye
SteckAye
CrespoAye
JoynerAye
DilanAye
HunterAye
SimotasAye
WalkerAye
NiouAye
RosenthalAye
SternAye

CODES Chair:Lentol DATE:06/11/2018AYE/NAY:13/7 Action: Favorable refer to committee Ways and Means
LentolAyeCurranNay
SchimmingerNayGiglioNay
PretlowAyeMontesanoNay
CookAyeMorinelloNay
CymbrowitzAyePalumboNay
TitusAyeGarbarinoNay
O'DonnellExcused
LavineAye
PerryAye
ZebrowskiExcused
AbinantiAye
WeprinAye
MosleyAye
HevesiAye
FahyAye
SeawrightAye

WAYS AND MEANS Chair:Weinstein DATE:06/18/2018AYE/NAY:27/6 Action: Favorable refer to committee Rules
WeinsteinAyeOaksNay
LentolAyeCrouchNay
SchimmingerAyeBarclayNay
GanttExcusedFitzpatrickAye
GlickAyeHawleyNay
NolanAyeMalliotakisAye
PretlowAyeWalterNay
PerryAyeMontesanoNay
ColtonAyeCurranAye
CookAyeRaAye
CahillAye
AubryAye
HooperExcused
ThieleAye
CusickAye
OrtizAye
BenedettoAye
WeprinAye
RodriguezAye
RamosAye
BraunsteinAye
McDonaldAye
RozicAye
Peoples-StokesAye
SimotasAye

RULES Chair:Heastie DATE:06/18/2018AYE/NAY:30/0 Action: Favorable
HeastieAyeKolbAye
GottfriedAyeOaksAye
LentolAyeButlerAye
GanttExcusedCrouchAye
NolanAyeFinchAye
WeinsteinAyeBarclayAye
HooperAyeRaiaAye
OrtizAyeHawleyAye
PretlowAye
CookAye
GlickAye
MorelleAye
AubryAye
EnglebrightAye
DinowitzAye
ColtonAye
MagnarelliAye
PerryAye
GalefAye
PaulinAye
TitusAye
Peoples-StokesAye
BenedettoAye

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A04899 Floor Votes:

There are no votes for this bill in this legislative session.
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A04899 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A4899C
 
SPONSOR: Rosenthal L
  TITLE OF BILL: An act to amend the insurance law, in relation to requiring health insurers to provide coverage of opioid addiction prescription drugs prescribed for the treatment of substance abuse disorder   PURPOSE: This bill ensures that patients suffering from drug and alcohol depend- ency receive appropriate care, by requiring that health insurers to provide overage, without prior authorization, for an initial or renewal prescription for drugs prescribed for the treatment of substance abuse disorder   SUMMARY OF SPECIFIC PROVISIONS: Section one amends subsection (i) of section 3216 of the insurance law to provide that every policy providing medical, major medical or similar comprehensive-type coverage, or coverage for prescription drugs must provide coverage, without prior authorization, for an initial or renewal prescription for prescription drugs prescribed for the treatment of substance use disorder. Section two amends subsection (1) of section 3221 of the insurance law to provide that every policy providing medical, major medical or similar comprehensive-type coverage, or coverage for prescription drugs must provide coverage, without prior authorization, for an initial or renewal prescription for prescription drugs prescribed for the treatment of substance use disorder. Section three adds a new subsection to section 4303 of the insurance Law to provide that every contract that provides medical, major medical or similar comprehensive-type coverage, or coverage for prescription drugs must provide coverage, without prior authorization, for an initial or renewal prescription for prescription drugs prescribed for the treatment of substance use disorder. Section four sets forth the effective date.   JUSTIFICATION: Opioid use has grown by epidemic proportions in recent years. There is significant need for accessible treatment options for individuals seek- ing medical treatment for addiction. However, in some reported instances, insurance companies have denied or sought to deny continued coverage for buprenorphine and other medications prescribed to treat opiate addiction. Insurance companies should not deny coverage for treatment options for opioid addiction recovery as prescribed by a doctor treating a patient in recovery. This legislation would ensure that patients suffering from drug and alcohol dependency receive appropriate care by prohibiting insurance companies from denying coverage of medication for treatment of substance use disorder for an initial or renewal prescription for prescription drugs prescribed for the treatment of substance use disorder.   LEGISLATIVE HISTORY: 2017: A.4899 - Referred to Insurance 2015-16: A.10237 - Referred to Insurance   FISCAL IMPLICATIONS: Undetermined.   EFFECTIVE DATE: This bill shall take effect immediately.
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A04899 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         4899--C
 
                               2017-2018 Regular Sessions
 
                   IN ASSEMBLY
 
                                    February 6, 2017
                                       ___________
 
        Introduced  by  M.  of  A. L. ROSENTHAL, BRINDISI, HUNTER, GALEF -- read
          once and referred to the Committee on Insurance -- recommitted to  the
          Committee  on  Insurance in accordance with Assembly Rule 3, sec. 2 --
          committee discharged, bill amended, ordered reprinted as  amended  and
          recommitted  to  said  committee -- again reported from said committee
          with amendments, ordered reprinted as amended and recommitted to  said
          committee  --  reported  and  referred  to  the  Committee on Codes --
          reported and referred to the Committee on Ways and Means --  committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to said committee
 
        AN  ACT  to  amend  the  insurance  law, in relation to requiring health
          insurers to provide coverage of opioid  addiction  prescription  drugs
          prescribed for the treatment of substance abuse disorder
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
     2  amended by adding a new paragraph 35 to read as follows:
     3    (35)(A)  Every  policy that provides medical, major medical or similar
     4  comprehensive-type coverage, or coverage  for  prescription  drugs  must
     5  provide  coverage,  without  prior authorization or step therapy, for an
     6  initial or renewal prescription for prescription  drugs  prescribed  for
     7  the  treatment  of substance abuse disorder suffered by a covered person
     8  with an addiction to opioids.
     9    (B) Coverage provided under this paragraph may be  subject  to  annual
    10  deductibles and co-insurance as deemed appropriate by the superintendent
    11  and  that  are  consistent with those imposed on other benefits within a
    12  given policy.
    13    (C) For the purposes of this paragraph, "prescription drugs prescribed
    14  for the treatment of substance abuse disorder"  shall  mean  medications
    15  and  prescription drugs approved by the food and drug administration for
    16  the detoxification or maintenance treatment of substance use disorder.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD05152-05-8

        A. 4899--C                          2
 
     1    § 2. Subsection (l) of section 3221 of the insurance law is amended by
     2  adding a new paragraph 7-c to read as follows:
     3    (7-c)(A)  Every policy that provides medical, major medical or similar
     4  comprehensive-type coverage, or coverage  for  prescription  drugs  must
     5  provide  coverage,  without  prior authorization or step therapy, for an
     6  initial or renewal prescription for prescription  drugs  prescribed  for
     7  the  treatment  of substance abuse disorder suffered by a covered person
     8  with an addiction to opioids.
     9    (B) Coverage provided under this paragraph may be  subject  to  annual
    10  deductibles and co-insurance as deemed appropriate by the superintendent
    11  and  that  are  consistent with those imposed on other benefits within a
    12  given policy.
    13    (C) For the purposes of this paragraph, "prescription drugs prescribed
    14  for the treatment of substance abuse disorder"  shall  mean  medications
    15  and  prescription drugs approved by the food and drug administration for
    16  the detoxification or maintenance treatment of substance use disorder.
    17    § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
    18  subsection (l-3) to read as follows:
    19    (l-3)  Every  contract that provides medical, major medical or similar
    20  comprehensive-type coverage, or coverage  for  prescription  drugs  must
    21  provide  coverage,  without  prior authorization or step therapy, for an
    22  initial or renewal prescription for prescription  drugs  prescribed  for
    23  the  treatment  of substance abuse disorder suffered by a covered person
    24  with an addiction to opioids. Coverage provided  under  this  subsection
    25  may  be  subject to annual deductibles and co-insurance as deemed appro-
    26  priate by the superintendent and that are consistent with those  imposed
    27  on  other  benefits  within  a  given contract. For the purposes of this
    28  subsection,  "prescription  drugs  prescribed  for  the   treatment   of
    29  substance  abuse disorder" shall mean medications and prescription drugs
    30  approved by the food and drug administration for the  detoxification  or
    31  maintenance treatment of substance use disorder.
    32    § 4. This act shall take effect immediately.
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A04899 LFIN:

 NO LFIN
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A04899 Chamber Video/Transcript:

6-19-18Video (@ 02:47:35)Transcript pdf Transcript html
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