New York A 5157: Prohibits co-pays for certain short term opioid drug prescriptions

Bill Text

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A05157 Summary:

BILL NOA05157 

&nbsp

SAME ASSAME AS S02315

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SPONSORDeStefano

&nbsp

COSPNSRReilly, Sayegh, Brown E, Pirozzolo

&nbsp

MLTSPNSR

&nbsp

Amd §3216, Ins L

&nbsp

Prohibits insurance companies from imposing a co-pay pursuant to a follow up visit with a physician in order to receive a refill on an opioid drug prescription which was initially written for seven days or less.

Go to top A05157 Actions:

BILL NOA05157 

&nbsp

02/12/2025referred to insurance

01/07/2026referred to insurance

Go to topA05157 Committee&nbspVotes:

Go to topA05157 Floor&nbspVotes:

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

Go to topA05157 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5157

 2025-2026 Regular Sessions

 IN ASSEMBLY

 February 12, 2025
 ___________

 Introduced by M. of A. DeSTEFANO, REILLY, SAYEGH, E. BROWN, PIROZZOLO --
 read once and referred to the Committee on Insurance

 AN ACT to amend the insurance law, in relation to prohibiting insurance
 companies from imposing a co-pay pursuant to a follow up visit with a
 physician in order to receive a refill on an opioid drug prescription

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

 1 Section 1. Subsection (i) of section 3216 of the insurance law is
 2 amended by adding a new paragraph 40 to read as follows:
 3 (40) Every policy which provides coverage for opioid drug
 4 prescriptions shall not impose any fee, co-payment, co-insurance, deduc-
 5 tible or other condition on any insured who requires a follow up
 6 appointment to receive an additional opioid drug prescription or a
 7 refill of an opioid drug prescription after an initial prescription for
 8 such opioid drug prescription which was written for a period of seven
 9 days or less. Such prohibition on any fee, co-payment, co-insurance,
 10 deductible or other condition is limited to one visit or one refill
 11 after the initial appointment or prescription. Upon any subsequent
 12 consultation for the same pain, the practitioner may issue, in accord-
 13 ance with this subsection, any appropriate renewal, refill, or new
 14 prescription for the opioid or any other drug.
 15 § 2. This act shall take effect on the ninetieth day after it shall
 16 have become a law.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD05407-01-5

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