Senate Bill S504

2023-2024 Legislative Session

Prohibits cost sharing for insulin

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Sponsored By

Current Bill Status - In Assembly Committee


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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Bill Amendments

co-Sponsors

2023-S504 - Details

See Assembly Version of this Bill:
A4141
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2019-2020: S8255, A10821
2021-2022: S1413, A2383

2023-S504 - Summary

Prohibits cost sharing for insulin; provides that an insured shall not be subject to a deductible, copayment, coinsurance or any other cost sharing requirement for the purchase of insulin.

2023-S504 - Sponsor Memo

2023-S504 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    504
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                              January 4, 2023
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed to the Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to capping  cost  sharing
   for insulin
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Subparagraph (B) of paragraph 15-a  of  subsection  (i)  of
 section  3216  of the insurance law, as amended by section 1 of part DDD
 of chapter 56 of the laws of 2020, is amended to read as follows:
   (B) Such coverage may be subject to annual deductibles and coinsurance
 as may be deemed appropriate by the superintendent and as are consistent
 with those  established  for  other  benefits  within  a  given  policy;
 provided however, the total amount that [a covered person] AN INSURED is
 required  to  pay  out  of pocket for covered prescription insulin drugs
 shall be capped IN AGGREGATE, INCLUDING SITUATIONS WHERE THE INSURED  IS
 PRESCRIBED  MORE  THAN ONE INSULIN DRUG, at an amount not to exceed [one
 hundred] THIRTY dollars per [thirty-day supply] CALENDAR MONTH,  regard-
 less  of  the  amount  or  type  of insulin needed to fill such [covered
 person's] INSURED'S prescription and regardless of the insured's deduct-
 ible, copayment, coinsurance or any other cost sharing requirement.
   § 2. Subparagraph (B) of paragraph 7 of subsection (k) of section 3221
 of the insurance law, as amended by section 2 of part DDD of chapter  56
 of the laws of 2020, is amended to read as follows:
   (B) Such coverage may be subject to annual deductibles and coinsurance
 as may be deemed appropriate by the superintendent and as are consistent
 with  those  established  for  other  benefits  within  a  given policy;
 provided however, the total amount that [a covered person] AN INSURED is
 required to pay out of pocket for  covered  prescription  insulin  drugs
 shall  be capped IN AGGREGATE, INCLUDING SITUATIONS WHERE THE INSURED IS
 PRESCRIBED MORE THAN ONE INSULIN DRUG, at an amount not to  exceed  [one
 hundred]  THIRTY dollars per [thirty-day supply] CALENDAR MONTH, regard-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD02649-02-3
              

co-Sponsors

2023-S504A (ACTIVE) - Details

See Assembly Version of this Bill:
A4141
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2019-2020: S8255, A10821
2021-2022: S1413, A2383

2023-S504A (ACTIVE) - Summary

Prohibits cost sharing for insulin; provides that an insured shall not be subject to a deductible, copayment, coinsurance or any other cost sharing requirement for the purchase of insulin.

2023-S504A (ACTIVE) - Sponsor Memo

2023-S504A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  504--A
     Cal. No. 91
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                              January 4, 2023
                                ___________
 
 Introduced by Sens. RIVERA, ADDABBO, COONEY, LIU, MARTINEZ -- read twice
   and ordered printed, and when printed to be committed to the Committee
   on  Insurance  -- recommitted to the Committee on Insurance in accord-
   ance with Senate Rule 6,  sec.  8  --  reported  favorably  from  said
   committee,  ordered  to  first  and  second report, ordered to a third
   reading, amended and ordered reprinted, retaining  its  place  in  the
   order of third reading
 
 AN ACT to amend the insurance law, in relation to prohibiting cost shar-
   ing for insulin
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subparagraph (B) of paragraph 15-a  of  subsection  (i)  of
 section  3216  of the insurance law, as amended by section 1 of part DDD
 of chapter 56 of the laws of 2020, is amended to read as follows:
   (B) Such coverage may be subject to annual deductibles and coinsurance
 as may be deemed appropriate by the superintendent and as are consistent
 with those  established  for  other  benefits  within  a  given  policy;
 provided  however, [the total amount] that [a covered person is required
 to pay out of pocket for] covered prescription insulin drugs  shall  [be
 capped  at  an  amount  not to exceed one hundred dollars per thirty-day
 supply, regardless of the amount or type of insulin needed to fill  such
 covered  person's  prescription  and regardless of the insured's] NOT BE
 SUBJECT TO A deductible, copayment, coinsurance or any other cost  shar-
 ing requirement.
   § 2. Subparagraph (B) of paragraph 7 of subsection (k) of section 3221
 of  the insurance law, as amended by section 2 of part DDD of chapter 56
 of the laws of 2020, is amended to read as follows:
   (B) Such coverage may be subject to annual deductibles and coinsurance
 as may be deemed appropriate by the superintendent and as are consistent
 with those  established  for  other  benefits  within  a  given  policy;
 provided  however, [the total amount] that [a covered person is required

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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