Assembly Bill A5174B

2015-2016 Legislative Session

Requires policies providing prescription drug coverage to cover vitamins and supplements, medical foods, and other medications to mitigate and/or treat the symptoms of mitochondrial disease

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Archive: Last Bill Status - In Assembly Committee

  • 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

multi-Sponsors

2015-A5174 - Details

See Senate Version of this Bill:
S3250
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

2015-A5174 - Summary

Requires policies providing prescription drug coverage to cover vitamins and supplements, medical foods, and other medications to mitigate and/or treat the symptoms of mitochondrial disease.

2015-A5174 - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  5174

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                            February 12, 2015
                               ___________

Introduced  by  M.  of  A.  McDONALD,  PICHARDO, DUPREY, WALTER, CRESPO,
  CLARK, GOTTFRIED -- Multi-Sponsored by -- M. of A. LUPINACCI, McLAUGH-
  LIN, SCARBOROUGH -- read once and referred to the Committee on  Insur-
  ance

AN ACT to amend the insurance law, in relation to requiring prescription
  drug  coverage  to  include  such supplements and vitamins as shall be
  deemed necessary to mitigate the symptoms of mitochondrial disease

  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 32 to read as follows:
  (32) (A) EVERY POLICY WHICH PROVIDES COVERAGE FOR  PRESCRIPTION  DRUGS
SHALL  INCLUDE COVERAGE FOR THE COST OF SUCH SUPPLEMENTS AND VITAMINS AS
A PHYSICIAN SHALL DEEM NECESSARY TO MITIGATE THE SYMPTOMS  OF  MITOCHON-
DRIAL  DISEASE  DIAGNOSED, THROUGH MUSCLE BIOPSY AND/OR GENETIC TESTING,
IN A COVERED PERSON.
  (B) SUCH COVERAGE MAY BE SUBJECT TO SUCH ANNUAL DEDUCTIBLES AND  COIN-
SURANCE  AS  MAY  BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE
CONSISTENT WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN THE POLICY.
  S 2. Subsection (k) of section 3221 of the insurance law is amended by
adding a new paragraph 20 to read as follows:
  (20)(A) EVERY GROUP OR BLANKET  POLICY  WHICH  PROVIDES  COVERAGE  FOR
PRESCRIPTION  DRUGS  SHALL INCLUDE COVERAGE FOR THE COST OF SUCH SUPPLE-
MENTS AND VITAMINS AS A PHYSICIAN SHALL DEEM NECESSARY TO  MITIGATE  THE
SYMPTOMS  OF  MITOCHONDRIAL  DISEASE  DIAGNOSED,  THROUGH  MUSCLE BIOPSY
AND/OR GENETIC TESTING, IN A COVERED PERSON.
  (B) SUCH COVERAGE MAY BE SUBJECT TO SUCH ANNUAL DEDUCTIBLES AND  COIN-
SURANCE  AS  MAY  BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE
CONSISTENT WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN THE POLICY.
  S 3. Section 4303 of the insurance law is  amended  by  adding  a  new
subsection (pp) to read as follows:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD07746-01-5

co-Sponsors

multi-Sponsors

2015-A5174A - Details

See Senate Version of this Bill:
S3250
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

2015-A5174A - Summary

Requires policies providing prescription drug coverage to cover vitamins and supplements, medical foods, and other medications to mitigate and/or treat the symptoms of mitochondrial disease.

2015-A5174A - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 5174--A

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                            February 12, 2015
                               ___________

Introduced  by  M.  of  A.  McDONALD,  PICHARDO, DUPREY, WALTER, CRESPO,
  CLARK, GOTTFRIED, RUSSELL, DiPIETRO, FAHY, STEC -- Multi-Sponsored  by
  --  M.  of  A.  BARRON, CERETTO, LUPINACCI, McLAUGHLIN, SCARBOROUGH --
  read once and referred to the  Committee  on  Insurance  --  committee
  discharged, bill amended, ordered reprinted as amended and recommitted
  to said committee

AN ACT to amend the insurance law, in relation to requiring prescription
  drug coverage to include such supplements and vitamins, medical foods,
  and  other medications as shall be deemed necessary to mitigate and/or
  treat the symptoms of mitochondrial disease

  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 32 to read as follows:
  (32) (A) EVERY POLICY WHICH PROVIDES COVERAGE FOR  PRESCRIPTION  DRUGS
SHALL  INCLUDE  COVERAGE  FOR THE COST OF SUCH SUPPLEMENTS AND VITAMINS,
MEDICAL FOODS SUCH AS COENZYME Q10, AND OTHER MEDICATIONS USED TO  TREAT
THE  SYMPTOMS ASSOCIATED WITH MITOCHONDRIAL DISEASE AS A PHYSICIAN SHALL
DEEM NECESSARY TO MITIGATE AND/OR TREAT THE  SYMPTOMS  OF  MITOCHONDRIAL
DISEASE DIAGNOSED, THROUGH CLINICAL ASSESSMENT, MUSCLE BIOPSY, BIOCHEMI-
CAL TESTING OR GENETIC TESTING, IN A COVERED PERSON.
  (B)  SUCH COVERAGE MAY BE SUBJECT TO SUCH ANNUAL DEDUCTIBLES AND COIN-
SURANCE AS MAY BE DEEMED APPROPRIATE BY THE SUPERINTENDENT  AND  AS  ARE
CONSISTENT WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN THE POLICY.
  S 2. Subsection (k) of section 3221 of the insurance law is amended by
adding a new paragraph 20 to read as follows:
  (20)(A)  EVERY  GROUP  OR  BLANKET  POLICY WHICH PROVIDES COVERAGE FOR
PRESCRIPTION DRUGS SHALL INCLUDE COVERAGE FOR THE COST OF  SUCH  SUPPLE-
MENTS  AND VITAMINS, MEDICAL FOODS SUCH AS COENZYME Q10, AND OTHER MEDI-
CATIONS USED TO TREAT THE SYMPTOMS ASSOCIATED WITH MITOCHONDRIAL DISEASE
AS A PHYSICIAN SHALL DEEM NECESSARY TO MITIGATE AND/OR TREAT  THE  SYMP-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD07746-03-5

co-Sponsors

multi-Sponsors

2015-A5174B (ACTIVE) - Details

See Senate Version of this Bill:
S3250
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

2015-A5174B (ACTIVE) - Summary

Requires policies providing prescription drug coverage to cover vitamins and supplements, medical foods, and other medications to mitigate and/or treat the symptoms of mitochondrial disease.

2015-A5174B (ACTIVE) - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 5174--B

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                            February 12, 2015
                               ___________

Introduced  by  M.  of  A.  McDONALD,  PICHARDO, DUPREY, WALTER, CRESPO,
  CLARK, GOTTFRIED, RUSSELL, DiPIETRO, FAHY, STEC -- Multi-Sponsored  by
  --  M.  of A. BARRON, CERETTO, GALEF, KEARNS, LUPINACCI, McLAUGHLIN --
  read once and referred to the  Committee  on  Insurance  --  committee
  discharged, bill amended, ordered reprinted as amended and recommitted
  to  said  committee  --  recommitted  to the Committee on Insurance in
  accordance with Assembly Rule 3, sec. 2 -- committee discharged,  bill
  amended,  ordered reprinted as amended and recommitted to said commit-
  tee

AN ACT to amend the insurance law, in relation to requiring prescription
  drug coverage to include such supplements and vitamins, medical foods,
  and other medications as shall be deemed necessary to mitigate  and/or
  treat the symptoms of mitochondrial disease

  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 33 to read as follows:
  (33)  (A)  EVERY POLICY WHICH PROVIDES COVERAGE FOR PRESCRIPTION DRUGS
SHALL INCLUDE COVERAGE FOR THE COST OF SUCH  SUPPLEMENTS  AND  VITAMINS,
MEDICAL  FOODS SUCH AS COENZYME Q10, AND OTHER MEDICATIONS USED TO TREAT
THE SYMPTOMS ASSOCIATED WITH MITOCHONDRIAL DISEASE AS A PHYSICIAN  SHALL
DEEM  NECESSARY  TO  MITIGATE AND/OR TREAT THE SYMPTOMS OF MITOCHONDRIAL
DISEASE DIAGNOSED, THROUGH CLINICAL ASSESSMENT, MUSCLE BIOPSY, BIOCHEMI-
CAL TESTING OR GENETIC TESTING, IN A COVERED PERSON.
  (B) SUCH COVERAGE MAY BE SUBJECT TO SUCH ANNUAL DEDUCTIBLES AND  COIN-
SURANCE  AS  MAY  BE DEEMED APPROPRIATE BY THE SUPERINTENDENT AND AS ARE
CONSISTENT WITH THOSE ESTABLISHED FOR OTHER BENEFITS WITHIN THE POLICY.
  S 2. Subsection (k) of section 3221 of the insurance law is amended by
adding a new paragraph 21 to read as follows:
  (21)(A) EVERY GROUP OR BLANKET  POLICY  WHICH  PROVIDES  COVERAGE  FOR
PRESCRIPTION  DRUGS  SHALL INCLUDE COVERAGE FOR THE COST OF SUCH SUPPLE-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD07746-05-6

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