---
type: "Bill"
title: "Relates to step therapy protocol"
description: "Relates to health care plans for step therapy protocol; amends effective date to January 1, 2026."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2025-2026"
identifier: "A 443"
citation: "New York A 443 (2025-2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["John T. McDonald III"]
version_count: 1
action_count: 14
vote_count: 2
first_action: "2025-01-08"
last_action: "2025-02-14"
source: "openstates"
source_identifier: "ocd-bill/f2f781db-332b-414a-85dd-bcf7259c548a"
source_url: "http://www.nysenate.gov/legislation/bills/2025/A443"
source_hash: "3448bce69f303231b47adde8a4d46ab89ca9522573231f90681b947f0557674e"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ny"]
---

# New York A 443 (2025-2026) — Relates to step therapy protocol

Relates to health care plans for step therapy protocol; amends effective date to January 1, 2026.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **A443** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=A443&term=2025&Text=Y)

## Votes

- Floor Vote — **60–1** (pass) · upper
- Assembly Vote — **146–0** (pass) · lower

## Sponsors

- John T. McDonald III — primary (person)
- MaryJane Shimsky — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2025-01-08** REFERRED TO INSURANCE `referral-committee`
- **2025-01-28** REPORTED REFERRED TO RULES `referral-committee`
- **2025-01-28** REPORTED
- **2025-01-28** RULES REPORT CAL.73
- **2025-01-28** ORDERED TO THIRD READING RULES CAL.73
- **2025-02-04** PASSED ASSEMBLY `passage`
- **2025-02-04** DELIVERED TO SENATE
- **2025-02-04** REFERRED TO RULES `referral-committee`
- **2025-02-11** SUBSTITUTED FOR S2676
- **2025-02-11** 3RD READING CAL.159
- **2025-02-11** PASSED SENATE `passage`
- **2025-02-11** RETURNED TO ASSEMBLY
- **2025-02-12** DELIVERED TO GOVERNOR `executive-receipt`
- **2025-02-14** SIGNED CHAP.20 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f2f781db-332b-414a-85dd-bcf7259c548a`. Confidence: reported (aggregated from official New York legislature records).