Bill > S05534

This bill prohibits Medicaid service providers and managed care providers from requiring prior authorization for antiretroviral prescription drugs used to treat or prevent HIV/AIDS. Prior authorization is a process where healthcare providers must obtain approval from an insurance company before a specific medication can be prescribed, which can create barriers to accessing essential medication. The bill amends three sections of New York state law: the social services law and the public health law, effectively ensuring that patients receiving care through Medicaid, managed care providers, and state public health plans can immediately access HIV/AIDS medications without having to go through additional administrative steps. By removing the prior authorization requirement, the bill aims to streamline access to critical medications, potentially improving health outcomes for individuals living with or at risk of HIV/AIDS. The bill will take effect 180 days after becoming law, giving healthcare systems time to adjust to the new requirements.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S5534