Bill Text: NY S04808 | 2019-2020 | General Assembly | Introduced

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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 5-0)

Status: (Passed) 2019-12-31 - signed chap.748 [S04808 Detail]

Download: New_York-2019-S04808-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          4808
                               2019-2020 Regular Sessions
                    IN SENATE
                                     March 26, 2019
                                       ___________
        Introduced  by Sen. HARCKHAM -- read twice and ordered printed, and when
          printed to be committed to the Committee on Insurance
        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     2  insurance  law  is REPEALED and a new paragraph 31-a is added to read as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.
                                                                   LBD01428-01-9
        S. 4808                             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.