What's happening
This bill requires health insurance policies in New York to cover prenatal vitamins when prescribed by authorized health care providers.
Why it matters
Expands access to essential prenatal nutrition. by ensuring that all health insurance plans covering prescription drugs must also cover prenatal vitamins when prescribed, potentially improving health outcomes for pregnant individuals and their babies.
Reduces out-of-pocket costs. for those needing prenatal vitamins, especially lower-income or underinsured patients, by mandating insurance coverage and limiting costs to standard deductibles and coinsurance rates.
Aligns prenatal vitamin coverage with other prescription benefits. , meaning insurers cannot impose stricter cost-sharing or coverage restrictions on prenatal vitamins than they do for other prescriptions, promoting fairer treatment of maternal health needs.
Applies broadly across individual, group, and blanket health policies. in New York, ensuring consistent coverage regardless of how someone gets their insurance.
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Who cares
Headline styles
Cover Prenatal Vitamins
Plain English, a few words. Used as the page title.
Sponsors
History
- Referred to insurance
- Referred to insurance
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
296
2017-2018 Regular Sessions
IN ASSEMBLY
January 5, 2017
Introduced by M. of A. GUNTHER, JAFFEE, PERRY, TITUS, ROZIC, SIMOTAS, WALTER -- Multi-Sponsored by -- M. of A. HIKIND, LUPINACCI, M. G. MILLER, MOSLEY, RIVERA, TITONE -- read once and referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to coverage for prenatal vitamins
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Subsection (i) of section 3216 of the insurance law is amended by adding a new paragraph 10-a to read as follows:
(10-a)(A) Every policy which provides coverage for prescription drugs shall provide coverage for prenatal vitamins when prescribed or ordered by a health care provider legally authorized to prescribe under title eight of the education law.
(B) Such coverage may be subject to annual deductibles and coinsurance as may be deemed appropriate by the superintendent and as are consistent with those established for other benefits within a given policy.
§ 2. Subsection (k) of section 3221 of the insurance law is amended by adding a new paragraph 5-a to read as follows:
(5-a)(A) Every group or blanket policy which provides coverage for prescription drugs shall provide coverage for prenatal vitamins when prescribed or ordered by a health care provider legally authorized to prescribe under title eight of the education law.
(B) Such coverage may be subject to annual deductibles and coinsurance, as may be deemed appropriate by the superintendent and as are consistent with those established for other benefits within a given policy.
§ 3. Section 4303 of the insurance law is amended by adding a new subsection (c-1) to read as follows:
(c-1)(1) Every contract issued by a corporation subject to the provisions of this article which provides coverage for prescription
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02510-01-7
A. 296 2
drugs shall provide coverage for prenatal vitamins when prescribed or ordered by a health care provider legally authorized to prescribe under title eight of the education law.
(2) Such coverage may be subject to annual deductibles and coinsurance as may be deemed appropriate by the superintendent and as are consistent with those established for other benefits within a given contract.
§ 4. This act shall take effect on the first of January next succeeding the date on which it shall have become a law and shall apply to policies issued, reissued, renewed, modified or amended on or after such date.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
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