New York 2025-2026 Regular Session

New York Assembly Bill A09547

Introduced
1/14/26  
Refer
1/14/26  
Report Pass
4/28/26  

Caption

Prohibits Medicaid service providers from requiring prior authorization for antiretroviral prescription drugs for the treatment or prevention of the human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS).

Impact

The proposed changes to the social services and public health laws intend to streamline the process through which patients receive HIV-related medications. By eliminating the need for prior authorization, supporters argue that the bill promotes timely access to lifesaving drugs, which can significantly affect patient outcomes in the fight against HIV/AIDS. This legislation reflects a progressive step towards ensuring that health equity is maintained for individuals battling these health challenges.

Summary

Bill A09547 aims to amend existing laws that govern Medicaid service providers, specifically prohibiting them from requiring prior authorization for antiretroviral prescription drugs used in the treatment or prevention of Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS). The bill seeks to improve access to critical medications for patients, especially those enrolled in state public health plans, easing bureaucratic barriers that can delay or deny necessary care.

Contention

While the bill has garnered support due to its intention to facilitate access to essential medications, there may be concerns regarding potential misuse or overprescribing by eliminating prior authorization processes. Critics may challenge the bill on these grounds and argue for the necessity of certain checks and balances within the Medicaid system to preserve resource management and uphold preventive health measures.

Additional_notes

As discussions and debates continue, the implications of A09547 on Medicaid revenue and pharmaceutical costs may become focal points among stakeholders, including healthcare providers, lawmakers, and public health advocates. The bill's eventual enactment would signify a commitment from New York State to enhance healthcare access for marginalized populations, especially those affected by HIV/AIDS.

Companion Bills

No companion bills found.

Previously Filed As

NY A00026

Prohibits Medicaid service providers from requiring prior authorization for antiretroviral prescription drugs for the treatment or prevention of the human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS).

NY S05534

Prohibits Medicaid service providers from requiring prior authorization for antiretroviral prescription drugs for the treatment or prevention of the human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS).

NY HB1680

Relating to prior authorization for prescription drug benefits related to the prevention of human immunodeficiency virus infections.

NY SB1274

Relating to prior authorization for prescription drug benefits related to the prevention of human immunodeficiency virus infections.

NY HB2292

Relating to treatment of human immunodeficiency virus.

NY HB1355

Human immunodeficiency virus.

NY SB1298

Modifies provisions relating to the human immunodeficiency virus

NY SB609

Modifies provisions relating to the human immunodeficiency virus

NY HB2457

AN ACT to amend Tennessee Code Annotated, Title 4; Title 56 and Title 71, relative to the coverage of long-acting injectable drugs for the treatment or prevention of human immunodeficiency virus.

NY SB2499

AN ACT to amend Tennessee Code Annotated, Title 4; Title 56 and Title 71, relative to the coverage of long-acting injectable drugs for the treatment or prevention of human immunodeficiency virus.

Similar Bills

No similar bills found.