Senate Bill S3250B

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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Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance 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

2015-S3250 - Details

See Assembly Version of this Bill:
A5174
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

2015-S3250 - 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-S3250 - Sponsor Memo

2015-S3250 - Bill Text download pdf

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

                                  3250

                       2015-2016 Regular Sessions

                            I N  S E N A T E

                            February 3, 2015
                               ___________

Introduced  by  Sens. LITTLE, CARLUCCI, MARCHIONE, RITCHIE -- 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 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

2015-S3250A - Details

See Assembly Version of this Bill:
A5174
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

2015-S3250A - 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-S3250A - Sponsor Memo

2015-S3250A - Bill Text download pdf

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

                                 3250--A

                       2015-2016 Regular Sessions

                            I N  S E N A T E

                            February 3, 2015
                               ___________

Introduced  by  Sens. LITTLE, CARLUCCI, MARCHIONE, RITCHIE -- read twice
  and ordered printed, and when printed to be committed 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-
TOMS  OF  MITOCHONDRIAL  DISEASE DIAGNOSED, THROUGH CLINICAL ASSESSMENT,

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD07746-02-5

              

co-Sponsors

2015-S3250B (ACTIVE) - Details

See Assembly Version of this Bill:
A5174
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

2015-S3250B (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-S3250B (ACTIVE) - Sponsor Memo

2015-S3250B (ACTIVE) - Bill Text download pdf

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

                                 3250--B

                       2015-2016 Regular Sessions

                            I N  S E N A T E

                            February 3, 2015
                               ___________

Introduced  by  Sens. LITTLE, CARLUCCI, MARCHIONE, RITCHIE -- read twice
  and ordered printed, and when printed to be committed 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 Senate Rule  6,  sec.  8  --
  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 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-
MENTS AND VITAMINS, MEDICAL FOODS SUCH AS COENZYME Q10, AND OTHER  MEDI-
CATIONS USED TO TREAT THE SYMPTOMS ASSOCIATED WITH MITOCHONDRIAL DISEASE

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD07746-04-6
              

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