New York A 7522: Relates to the commissions of donees of a power in trust, including donees of a power during minority

Bill Text

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 Speaker Carl E. Heastie

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A07522 Summary:

BILL NOA07522A

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SAME ASSAME AS S04867-A

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SPONSORLavine

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COSPNSREachus, Stern, Lunsford, Weprin, Santabarbara, Simon, Seawright, Valdez

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MLTSPNSR

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Amd §§3216, 3221 & 4303, Ins L

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Prohibits the application of fail-first or step therapy protocols to coverage for the diagnosis and treatment of serious mental health conditions; defines serious mental health condition.

Go to top A07522 Actions:

BILL NOA07522A

&nbsp

04/01/2025referred to insurance

05/20/2025amend and recommit to insurance

05/20/2025print number 7522a

01/07/2026referred to insurance

Go to topA07522 Committee&nbspVotes:

Go to topA07522 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA07522 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 7522--A

 2025-2026 Regular Sessions

 IN ASSEMBLY

 April 1, 2025
 ___________

 Introduced by M. of A. LAVINE, EACHUS, STERN, LUNSFORD, WEPRIN, SANTA-
 BARBARA -- 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 prohibiting the appli-
 cation of fail-first or step therapy protocols to coverage for the
 diagnosis and treatment of serious mental health conditions

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. Item (ii) of subparagraph (A) and subparagraphs (C) and (E)
 2 of paragraph 35 of subsection (i) of section 3216 of the insurance law,
 3 item (ii) of subparagraph (A) as amended by chapter 62 of the laws of
 4 2023 and subparagraphs (C) and (E) as added by section 8 of subpart A of
 5 part BB of chapter 57 of the laws of 2019, are amended to read as
 6 follows:
 7 (ii) where the policy provides coverage for physician services, such
 8 policy shall include benefits for outpatient care provided by a psychia-
 9 trist or psychologist licensed to practice in this state, a licensed
 10 clinical social worker within the lawful scope of [his or her] their
 11 practice, who is licensed pursuant to article one hundred fifty-four of
 12 the education law, a mental health counselor, marriage and family thera-
 13 pist, or psychoanalyst licensed pursuant to article one hundred sixty-
 14 three of the education law, a nurse practitioner licensed to practice in
 15 this state, or a professional corporation or university faculty practice
 16 corporation thereof, including outpatient drug coverage. Nothing herein
 17 shall be construed to modify or expand the scope of practice of a mental
 18 health counselor, marriage and family therapist, or psychoanalyst
 19 licensed pursuant to article one hundred sixty-three of the education
 20 law. Further, nothing herein shall be construed to create a new mandated
 21 health benefit.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD09475-03-5

 A. 7522--A 2

 1 (C) Coverage under this paragraph shall not apply financial require-
 2 ments or treatment limitations to mental health benefits, including
 3 outpatient drug coverage, that are more restrictive than the predominant
 4 financial requirements and treatment limitations applied to substantial-
 5 ly all medical and surgical benefits covered by the policy. Coverage
 6 under this paragraph, including drug coverage, shall not apply any of
 7 the following to a drug or drugs prescribed for a serious mental health
 8 condition:
 9 (i) a fail-first or step therapy protocol, as defined by section four
 10 thousand nine hundred of this chapter; or
 11 (ii) a prior authorization requirement, as established pursuant to
 12 subsection (h) of section four thousand nine hundred three of this chap-
 13 ter.
 14 (E) For purposes of this paragraph:
 15 (i) "financial requirement" means deductible, copayments, coinsurance
 16 and out-of-pocket expenses;
 17 (ii) "predominant" means that a financial requirement or treatment
 18 limitation is the most common or frequent of such type of limit or
 19 requirement;
 20 (iii) "treatment limitation" means limits on the frequency of treat-
 21 ment, number of visits, days of coverage, or other similar limits