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Bill > S01804
NY S01804
NY S01804Requires insurance coverage for one rescue and one maintenance inhaler at no cost.
summary
Introduced
01/13/2025
01/13/2025
In Committee
01/13/2025
01/13/2025
Crossed Over
Passed
Dead
Introduced Session
2025-2026 General Assembly
Bill Summary
AN ACT to amend the insurance law, in relation to requiring coverage of certain asthma inhalers at no cost
AI Summary
This bill requires all health insurance policies in New York that provide prescription drug coverage to include coverage for asthma inhalers without additional out-of-pocket costs for patients. Specifically, the legislation mandates that insurers cover one rescue inhaler (used during acute asthma attacks to quickly open airways) and one maintenance inhaler (used regularly to control and prevent asthma symptoms) at no cost to the patient, meaning no deductibles, copayments, or coinsurance. The inhalers must be prescribed by a licensed healthcare provider authorized under New York state education law. The bill includes a provision for high-deductible health plans, allowing these plans to apply the inhaler coverage to their annual deductible if necessary to maintain health savings account eligibility. This legislation applies to individual policies, group insurance plans, and medical expense indemnity corporations, and will take effect on January 1, 2027, applying to all new, renewed, or modified insurance policies from that date forward.
Committee Categories
Business and Industry
Sponsors (4)
Last Action
Companion passed 2025-11-21 (on 11/21/2025)
Official Document
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