A 4470: Provides coverage of remotely connected insulin pens under the pharmacy benefit of medical assistance for eligible patients with diabetes.
The bill aims to provide coverage for remotely connected insulin pens for patients with diabetes. These pens can operate interactively and/or autonomously and are intended for use by patients aged 7 or older, who will be using them with prescribed insulin cartridges. Patients under 7 years old may use these devices with adult supervision. The coverage will be provided under the pharmacy benefit of medical assistance for eligible patients with diabetes. The cost of these services will be adequately reflected in managed care organization premium payments. The bill will take effect on January 1st of the following year after it becomes a law.
| Jan. 07, 2026 | referred to health |
| Feb. 04, 2025 | referred to health |
STATE OF NEW YORK ________________________________________________________________________ 4470 2025-2026 Regular Sessions IN ASSEMBLY February 4, 2025 ___________ Introduced by M. of A. O'PHARROW -- read once and referred to the Committee on Health AN ACT to amend the social services law, in relation to coverage for assistance for remotely connected insulin pens for certain patients with diabetes The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivision 2 of section 365-a of the social services law 2 is amended by adding a new paragraph (nn) to read as follows: 3 (nn) Remotely connected insulin pens for patients with diabetes that 4 can operate interactively and/or autonomously for recipients who are 5 seven years of age or older and will be using such a device solely with 6 appropriately prescribed insulin cartridges; provided recipients younger 7 than seven years old may use the remotely connected insulin delivery 8 device with adult supervision. Coverage of such remotely connected insu- 9 lin pens shall be provided under the pharmacy benefit of medical assist- 10 ance for all eligible patients with diabetes and the cost of such 11 services, including the cost to administer such benefit, shall be 12 adequately reflected in managed care organization premium payments. 13 § 2. This act shall take effect on the first of January next succeed- 14 ing the date upon which it shall have become a law. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD00926-01-5