New York Senate Bill S03227 Latest Draft

   
  STATE OF NEW YORK ________________________________________________________________________ 3227--A 2023-2024 Regular Sessions  IN SENATE January 30, 2023 ___________ Introduced by Sens. HOYLMAN-SIGAL, JACKSON, MYRIE, RIVERA, SALAZAR -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said commit- tee AN ACT to amend the public health law and the insurance law, in relation to prohibiting health insurers from requiring prior authorization for pre-exposure prophylaxis used to prevent HIV infection The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 4406-c of the public health law is amended by 2 adding a new subdivision 14 to read as follows: 3 14. A health care plan which provides prescription drug coverage shall 4 not require a prior authorization determination for pre-exposure prophy- 5 laxis used to prevent HIV infection. Nothing in this subdivision shall 6 prohibit a health care plan from denying a claim for such services if 7 the services are subsequently determined not medically necessary. 8 § 2. Section 3217-b of the insurance law is amended by adding a new 9 subsection (p) to read as follows: 10 (p) An insurer which provides prescription drug coverage shall not 11 require a prior authorization determination for pre-exposure prophylaxis 12 used to prevent HIV infection. Nothing in this subsection shall prohibit 13 an insurer from denying a claim for such services if the services are 14 subsequently determined not medically necessary. 15 § 3. Section 4325 of the insurance law is amended by adding a new 16 subsection (p) to read as follows: 17 (p) A corporation organized under this article which provides 18 prescription drug coverage shall not require a prior authorization 19 determination for pre-exposure prophylaxis used to prevent HIV 20 infection. Nothing in this subsection shall prohibit a corporation EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD07908-02-4 
 S. 3227--A 2 1 organized under this article from denying a claim for such services if 2 the services are subsequently determined not medically necessary. 3 § 4. This act shall take effect on the one hundred eightieth day after 4 it shall have become a law.