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.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2026
Senate Passage
May 2026
Assembly Passage
Governor
Introduced Feb 13, 2025
Last action May 7, 2026
Maddy AI version diff · 1 comparison
What changed between versions
S4867
→
S4867A
·
4 edits
MODERATE
This bill was amended to add three new sponsors and update its legislative status after committee review. The most significant substantive change is a complete revision of the list of mental health conditions covered under the new protections, expanding the scope from seven specific disorders to nine broader categories that include anxiety, trauma-related, and substance use disorders. Additionally, the bill was renumbered to align with a previous amendment to the Insurance Law.
Scope change
The bill's scope of protected mental health conditions was significantly expanded to include a wider range of disorders beyond the original seven listed.
ELIGIBILITY
The list of protected mental health conditions was replaced with nine broader categories, including anxiety, trauma-and-stressor-related, and substance-related disorders, expanding eligibility for coverage protections.
TECHNICAL
The bill title was updated to 'S. 4867--A' and the sponsor list was expanded to include Senators Jackson and Webb to reflect committee amendments.
The bill's procedural status was updated to reflect favorable committee reporting and ordering for a third reading.
The bill was renumbered to align with a previous amendment to section 3216 of the Insurance Law.
Floor votes · Senate May 7, 2026
How they voted
60–1
Passed · 2 other
Total votes 63
May 7, 2026
D
Democratic41
95% Yea
R
Republican22
95% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
13
Key actions
2
Committee
4
Amendments
1
May 7, 2026
Committee
REFERRED TO INSURANCE
lower
May 7, 2026
Upper · Passed
PASSED SENATE
upper
Jan 7, 2026
Committee
REFERRED TO INSURANCE
upper
Jun 13, 2025
Committee
COMMITTED TO RULES
upper
May 7, 2025
Upper · Passed
AMENDED ON THIRD READING 4867A
upper
Feb 13, 2025
Committee
REFERRED TO INSURANCE
upper
1 primary · 4 co-sponsors
Sponsors
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