Includes certain out of home services such as transition from a hospital, nursing facility or other institutional setting to the home within home care insurance coverage.
Exempts the city of New York, the city school district of the city of New York, the New York city industrial development agency, the New York city health and hospitals corporation, or the New York city housing authority in connection with construction contracts that have an estimated cost of no less than five million dollars or is subject to an owner-controlled insurance program for projects from requirements regarding application to a particular insurance company, agent or broker.
Directs the establishment of a pool of utilization review agents from health services specialties; requires impartiality; provides for the appointment of agents from the pool; requires random review of utilization review records; prohibits conflicts of interest.
Provides for the use of telematics or usage-based insurance for private passenger or commercial automobile insurance or policies in certain circumstances.
Requires that policy provisions regarding supplemental spousal liability insurance apply only to policies issued or delivered to an insured who is married.
Requires health insurance plans to provide coverage for medically necessary epinephrine auto-injector devices; caps the out-of-pocket cost of the co-pay or deductible for such epi-pens at sixty dollars.
Requires property/casualty insurance policies to state the types and causes of damage that are covered by such policy; requires such information to be provided at or near the beginning of such policy.
Requires comprehensive coverage for treatment of obesity, including coverage for prevention and wellness, nutrition counseling, intensive behavioral therapy, bariatric surgery, and FDA-approved anti-obesity medication.
Relates to access to appropriate drugs at reasonable prices, formulary exceptions, standing prior authorizations and external appeals; to access to retail pharmacies, prescription synchronization, limits on patient drug costs, explanations of benefits and rebates; to prescription drug synchronization; to pharmacy benefit management; and to limits on copayments and drug substitutions.