A 7522 New York Assembly · 2025 Regular Session

Prohibits the application of fail-first or step therapy protocols to coverage for the diagnosis and treatment of serious mental health conditions

Summary

Prohibits the application of fail-first or step therapy protocols to coverage for the diagnosis and treatment of serious mental health conditions; defines serious mental health condition.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Apr 2025

Committee Review

Floor Vote

Governor

Introduced Apr 1, 2025 Last action Jan 7, 2026

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What changed between versions

A7522 → A7522A · 3 edits

MINOR

This bill amends the Insurance Law to expand the list of mental health conditions covered under parity protections, ensuring that fail-first or step therapy protocols cannot be applied to a broader range of disorders including anxiety, trauma, and substance use disorders. The change also updates the bill's internal numbering to reflect its amended status in the legislative process.

Scope change

The scope of mental health conditions protected from restrictive insurance protocols was expanded from a specific list of seven disorders to a more comprehensive list of nine disorders aligned with current medical diagnostic standards.

ELIGIBILITY

The list of 'serious mental health conditions' eligible for protection against fail-first or step therapy protocols was expanded to include neurodevelopmental disorders, anxiety disorders, trauma-and-stressor-related disorders, neurodegenerative disorders, and substance-related and addictive disorders.

DEFINITION

The specific diagnostic categories for mental health disorders were updated to reflect the latest editions of medical manuals, changing terms like 'depression' to 'depressive disorders' and 'paranoid and other psychotic disorders' to 'schizophrenia spectrum and other psychotic disorders'.

TECHNICAL

The bill's internal reference numbers and section titles were updated to reflect its amended status as 'A 7522--A' and adjusted the cross-references to previous legislation to maintain accuracy.

Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jan 7, 2026

Committee

REFERRED TO INSURANCE

lower

May 20, 2025

Lower · Passed

PRINT NUMBER 7522A

lower

May 20, 2025

Lower · Passed

AMEND AND RECOMMIT TO INSURANCE

lower

Apr 1, 2025

Committee

REFERRED TO INSURANCE

lower

1 primary · 8 co-sponsors