New York A00443 amends health care plans' step therapy protocols, setting new rules and an effective date of January 1, 2026.

New York A00443 amends the insurance and public health laws to regulate step therapy protocols in health care plans. It mandates that protocols cannot require unapproved drugs, impose excessive trials, extend drug use beyond guidelines, or penalize patients for prior coverage. The bill also requires protocols to accept attestations from health care professionals and sets an effective date of January 1, 2026.

New York A00443 amends health care plans' step therapy protocols, setting new rules and an effective date of January 1, 2026.

New York A00443 amends the insurance and public health laws to regulate step therapy protocols in health care plans. It mandates that protocols cannot require unapproved drugs, impose excessive trials, extend drug use beyond guidelines, or penalize patients for prior coverage. The bill also requires protocols to accept attestations from health care professionals and sets an effective date of January 1, 2026.