Prohibits health insurers, health care plans, and HMOs from requiring prior authorization for anti-retroviral medication used to treat and prevent.
This bill amends the public health law and the insurance law to prohibit health insurers, health care plans, and HMOs from requiring prior authorization for anti-retroviral medication used to treat and prevent HIV infection. The bill allows insurers to deny claims for such services if they are later deemed not medically necessary. The changes will take effect 180 days after the bill becomes law.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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