S02779 Summary:
BILL NO | S02779 |
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SAME AS | No same as |
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SPONSOR | PARKER |
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COSPNSR | |
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MLTSPNSR | |
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Amd S4326, Ins L | |
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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. |
S02779 Actions:
BILL NO | S02779 | |||||||||||||||||||||||||||||||||||||||||||||||||
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01/23/2013 | REFERRED TO INSURANCE | |||||||||||||||||||||||||||||||||||||||||||||||||
01/08/2014 | REFERRED TO INSURANCE |
S02779 Floor Votes:
There are no votes for this bill in this legislative session.
Go to topS02779 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 2779 2013-2014 Regular Sessions IN SENATE January 23, 2013 ___________ Introduced by Sen. PARKER -- 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 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 14 and 15 of subsection (d) of section 4326 of 2 the insurance law, paragraph 14 as amended and paragraph 15 as added by 3 chapter 219 of the laws of 2011, are amended and a new paragraph 16 is 4 added to read as follows: 5 (14) prescription drugs obtained at a participating pharmacy. In addi- 6 tion to providing coverage at a participating pharmacy, health mainte- 7 nance organizations may utilize a mail order prescription drug program. 8 Health maintenance organizations may provide prescription drugs pursuant 9 to a drug formulary; however, health maintenance organizations must 10 implement an appeals process so that the use of non-formulary 11 prescription drugs may be requested by a physician; [and] 12 (15) for a contract that is not a grandfathered health plan, the 13 following additional preventive health services: 14 (A) evidence-based items or services that have in effect a rating of 15 'A' or 'B' in the current recommendations of the United States preven- 16 tive services task force; 17 (B) immunizations that have in effect a recommendation from the advi- 18 sory committee on immunization practices of the centers for disease 19 control and prevention with respect to the individual involved; 20 (C) with respect to children, including infants and adolescents, 21 evidence-informed preventive care and screenings provided for in the 22 comprehensive guidelines supported by the health resources and services 23 administration; and 24 (D) with respect to women, such additional preventive care and screen- 25 ings not described in subparagraph (A) of this paragraph as provided for EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD07101-01-3S. 2779 2 1 in comprehensive guidelines supported by the health resources and 2 services administration. 3 (E) For purposes of this paragraph, "grandfathered health plan" means 4 coverage provided by a corporation in which an individual was enrolled 5 on March twenty-third, two thousand ten for as long as the coverage 6 maintains grandfathered status in accordance with section 1251(e) of the 7 Affordable Care Act, 42 U.S.C. § 18011(e)[.]; and 8 (16) psychiatric or psychological services or diagnosis or treatment 9 of mental, nervous or emotional disorders or ailments and biologically- 10 based mental illness. 11 § 2. This act shall take effect immediately.