Provides coverage for biologically-based mental illness, psychiatric or psychological services or diagnosis or treatment of mental, nervous or emotional disorders or ailments under the Healthy New York program.
STATE OF NEW YORK
________________________________________________________________________
8751
2009-2010 Regular Sessions
IN ASSEMBLY
June 5, 2009
___________
Introduced by M. of A. THIELE -- read once and referred to the Committee
on Insurance
AN ACT to amend the insurance law, in relation to providing coverage for
biologically-based mental illness under the Healthy New York program
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Paragraphs 13 and 14 of subsection (d) of section 4326 of
2 the insurance law, as added by chapter 1 of the laws of 1999, are
3 amended and a new paragraph 15 is added to read as follows:
4 (13) blood and blood products furnished in connection with surgery or
5 inpatient hospital services; [and]
6 (14) prescription drugs obtained at a participating pharmacy. In addi-
7 tion to providing coverage at a participating pharmacy, health mainte-
8 nance organizations may utilize a mail order prescription drug program.
9 Health maintenance organizations may provide prescription drugs pursuant
10 to a drug formulary; however, health maintenance organizations must
11 implement an appeals process so that the use of non-formulary
12 prescription drugs may be requested by a physician[.]; and
13 (15) psychiatric or psychological services or diagnosis or treatment
14 of mental, nervous or emotional disorders or ailments and biologically-
15 based mental illness.
16 § 2. This act shall take effect immediately.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD11727-01-9
