Assembly Bill A9250

2021-2022 Legislative Session

Relates to the applicability of step therapy to certain medically necessary prescription drugs

download bill text pdf

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Archive: Last Bill Status - In Assembly Committee

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2021-A9250 (ACTIVE) - Details

See Senate Version of this Bill:
S8193
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §4902, Ins L; amd §4902, Pub Health L
Versions Introduced in 2023-2024 Legislative Session:
A582, S2682

2021-A9250 (ACTIVE) - Summary

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.

2021-A9250 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   9250
 
                           I N  A S S E M B L Y
 
                             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:

   Section 1.  Subsection (a) of section 4902 of  the  insurance  law  is
 amended by adding a new paragraph 14 to read as follows:
   (14)  WHEN  ESTABLISHING A STEP THERAPY PROTOCOL, A UTILIZATION REVIEW
 AGENT SHALL ENSURE THAT SUCH  PROTOCOL  SHALL  NOT  APPLY  TO  MEDICALLY
 NECESSARY PRESCRIPTION DRUGS IN THE DERMATOLOGIC, HEMATOLOGY, OPHTHALMO-
 LOGIC,  RHEUMATIC, GASTROINTESTINAL, NEUROLOGY, AND ONCOLOGY THERAPEUTIC
 CLASSES, INCLUDING NON-FORMULARY DRUGS.
   § 2. Section 4902 of the public health law is amended by adding a  new
 subdivision 5 to read as follows:
   5.  WHEN  ESTABLISHING  A  STEP THERAPY PROTOCOL, A UTILIZATION REVIEW
 AGENT SHALL ENSURE THAT SUCH  PROTOCOL  SHALL  NOT  APPLY  TO  MEDICALLY
 NECESSARY PRESCRIPTION DRUGS IN THE DERMATOLOGIC, HEMATOLOGY, OPHTHALMO-
 LOGIC,  RHEUMATIC, GASTROINTESTINAL, NEUROLOGY, AND ONCOLOGY THERAPEUTIC
 CLASSES, INCLUDING NON-FORMULARY DRUGS.
   § 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

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