Senate Bill S7114

2023-2024 Legislative Session

Relates to requiring insurance coverage for epinephrine auto-injectors

download bill text pdf

Sponsored By

Current Bill Status - Passed Senate & Assembly


  • 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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Bill Amendments

co-Sponsors

2023-S7114 - Details

See Assembly Version of this Bill:
A6425
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

2023-S7114 - Summary

Requires health insurance plans to provide coverage for epinephrine auto-injector devices; caps the cost to an insured at $100 per year.

2023-S7114 - Sponsor Memo

2023-S7114 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7114
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                               May 18, 2023
                                ___________
 
 Introduced  by  Sen.  RIVERA -- 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  requiring  health
   insurance  plans  to  provide  coverage  for epinephrine auto-injector
   devices

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subsection  (i)  of  section 3216 of the insurance law is
 amended by adding a new paragraph 39 to read as follows:
   (39) EVERY INSURER ISSUING A POLICY OF ACCIDENT AND  HEALTH  INSURANCE
 DELIVERED  OR  ISSUED  FOR  DELIVERY  IN THIS STATE WHICH PROVIDES MAJOR
 MEDICAL OR SIMILAR COMPREHENSIVE-TYPE COVERAGE  SHALL  INCLUDE  COVERAGE
 FOR  TWO  MEDICALLY  NECESSARY EPINEPHRINE AUTO-INJECTOR DEVICES FOR THE
 EMERGENCY TREATMENT OF LIFE-THREATENING ALLERGIC REACTIONS.  SUCH COVER-
 AGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND  COINSURANCE    AS  MAY  BE
 DEEMED  APPROPRIATE  BY  THE  SUPERINTENDENT  AND AS ARE CONSISTENT WITH
 THOSE  ESTABLISHED FOR OTHER BENEFITS WITHIN A  GIVEN  POLICY;  PROVIDED
 HOWEVER,  THE TOTAL AMOUNT THAT A COVERED PERSON IS REQUIRED TO PAY OUT-
 OF-POCKET FOR SUCH DEVICES SHALL BE CAPPED AT AN AMOUNT  NOT  TO  EXCEED
 ONE  HUNDRED  DOLLARS ANNUALLY REGARDLESS   OF THE INSURED'S DEDUCTIBLE,
 COPAYMENT, COINSURANCE OR ANY OTHER COST-SHARING  REQUIREMENT.  FOR  THE
 PURPOSES  OF  THIS  PARAGRAPH,  "EPINEPHRINE AUTO-INJECTOR DEVICE" SHALL
 HAVE THE SAME MEANING AS PROVIDED IN PARAGRAPH (B) OF SUBDIVISION ONE OF
 SECTION THREE THOUSAND-C OF THE PUBLIC HEALTH LAW.
   § 2. Subsection (k) of section 3221 of the insurance law is amended by
 adding a new paragraph 23 to read as follows:
   (23) EVERY GROUP OR BLANKET POLICY OF ACCIDENT  AND  HEALTH  INSURANCE
 DELIVERED  OR  ISSUED  FOR DELIVERY IN THIS STATE WHICH PROVIDES MEDICAL
 COVERAGE THAT INCLUDES COVERAGE FOR PHYSICIAN SERVICES IN A  PHYSICIAN'S
 OFFICE  AND EVERY POLICY WHICH PROVIDES MAJOR MEDICAL OR SIMILAR COMPRE-
 HENSIVE-TYPE  COVERAGE SHALL PROVIDE COVERAGE FOR TWO  MEDICALLY  NECES-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD10597-01-3
              

co-Sponsors

2023-S7114A (ACTIVE) - Details

See Assembly Version of this Bill:
A6425
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

2023-S7114A (ACTIVE) - Summary

Requires health insurance plans to provide coverage for epinephrine auto-injector devices; caps the cost to an insured at $100 per year.

2023-S7114A (ACTIVE) - Sponsor Memo

2023-S7114A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  7114--A
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                               May 18, 2023
                                ___________
 
 Introduced  by  Sens. RIVERA, CLEARE, COONEY, GOUNARDES, HARCKHAM, JACK-
   SON, WEBB -- read twice and ordered printed, and when  printed  to  be
   committed  to the Committee on Insurance -- recommitted to the Commit-
   tee 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  requiring  health
   insurance  plans  to  provide  coverage  for epinephrine auto-injector
   devices
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subsection  (i)  of  section 3216 of the insurance law is
 amended by adding a new paragraph 39 to read as follows:
   (39) (A) EVERY INSURER ISSUING A POLICY OF ACCIDENT AND HEALTH  INSUR-
 ANCE DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE WHICH PROVIDES MAJOR
 MEDICAL  OR  SIMILAR  COMPREHENSIVE-TYPE COVERAGE SHALL INCLUDE COVERAGE
 FOR, AT A MINIMUM, TWO  MEDICALLY  NECESSARY  EPINEPHRINE  AUTO-INJECTOR
 DEVICES   FOR  THE  EMERGENCY  TREATMENT  OF  LIFE-THREATENING  ALLERGIC
 REACTIONS.  SUCH COVERAGE MAY BE SUBJECT TO ANNUAL DEDUCTIBLES AND COIN-
 SURANCE  AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND  AS  ARE
 CONSISTENT  WITH  THOSE    ESTABLISHED FOR OTHER BENEFITS WITHIN A GIVEN
 POLICY; PROVIDED  HOWEVER, THE TOTAL AMOUNT THAT  A  COVERED  PERSON  IS
 REQUIRED  TO  PAY  OUT-OF-POCKET  FOR SUCH DEVICES SHALL BE CAPPED AT AN
 AMOUNT NOT TO EXCEED ONE HUNDRED DOLLARS ANNUALLY  REGARDLESS    OF  THE
 INSURED'S  DEDUCTIBLE,  COPAYMENT, COINSURANCE OR ANY OTHER COST-SHARING
 REQUIREMENT.  IF UNDER  FEDERAL  LAW,  APPLICATION  OF  THIS REQUIREMENT
 WOULD  RESULT IN HEALTH SAVINGS ACCOUNT INELIGIBILITY UNDER    26    USC
 223,    THIS  REQUIREMENT   SHALL     APPLY     FOR    HEALTH    SAVINGS
 ACCOUNT-QUALIFIED HIGH  DEDUCTIBLE  HEALTH  PLANS  WITH  RESPECT TO  THE
 DEDUCTIBLE OF SUCH A PLAN AFTER THE ENROLLEE HAS SATISFIED  THE  MINIMUM
 DEDUCTIBLE   UNDER 26  USC  223,  EXCEPT  FOR  WITH  RESPECT TO ITEMS OR
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD10597-03-4
              

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