Assembly Bill A809

2011-2012 Legislative Session

Provides for pharmacy benefit management and the procurement of prescription drugs at a negotiated rate for dispensation

download bill text pdf

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Archive: Last Bill Status - In Senate Committee Health 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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2011-A809 (ACTIVE) - Details

See Senate Version of this Bill:
S4664
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Add ยง279, Pub Health L
Versions Introduced in Other Legislative Sessions:
2009-2010: A2008, S3930
2013-2014: A5352, S1086
2015-2016: A2312
2017-2018: A2661

2011-A809 (ACTIVE) - Summary

Provides for pharmacy benefit management and the procurement of prescription drugs to be dispensed to patients, or the administration or management of prescription drug benefits; sets forth definitions; provides for funds received by a pharmacy benefit manager to be received by the pharmacy in trust for the health plan or provider and provides for accountability of such funds.

2011-A809 (ACTIVE) - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                   809

                       2011-2012 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 5, 2011
                               ___________

Introduced  by  M.  of A. GOTTFRIED, ENGLEBRIGHT, GALEF, PAULIN, JACOBS,
  TITUS,  HOOPER,  SCHROEDER,  GABRYSZAK,  JAFFEE,  MILLMAN,  COLTON  --
  Multi-Sponsored  by  --  M. of A.   BENEDETTO, BING, BOYLAND, BURLING,
  CLARK, COOK, DESTITO, DINOWITZ, FARRELL,  GUNTHER,  HEASTIE,  LATIMER,
  LAVINE,  LIFTON,  MAYERSOHN,  McENENY, PEOPLES-STOKES, PERRY, PHEFFER,
  RAMOS, REILLY, ROBINSON, SWEENEY, WEISENBERG, WRIGHT -- read once  and
  referred to the Committee on Health

AN  ACT  to amend the public health law, in relation to pharmacy benefit
  managers

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.  The  public health law is amended by adding a new section
279 to read as follows:
  S 279. PHARMACY BENEFIT MANAGERS. 1. DEFINITIONS.   AS  USED  IN  THIS
SECTION, THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANINGS:
  (A)  "HEALTH  PLAN  OR  PROVIDER" MEANS AN ENTITY FOR WHICH A PHARMACY
BENEFIT MANAGER PROVIDES PHARMACY BENEFIT MANAGEMENT INCLUDING, BUT  NOT
LIMITED  TO:  (I)  A  HEALTH BENEFIT PLAN OR OTHER ENTITY THAT APPROVES,
PROVIDES, ARRANGES FOR, OR PAYS FOR HEALTH CARE ITEMS OR SERVICES, UNDER
WHICH PRESCRIPTION DRUGS FOR BENEFICIARIES OF THE ENTITY  ARE  PURCHASED
OR  WHICH PROVIDES OR ARRANGES REIMBURSEMENT IN WHOLE OR IN PART FOR THE
PURCHASE OF PRESCRIPTION DRUGS;  OR  (II)  A  HEALTH  CARE  PROVIDER  OR
PROFESSIONAL,  INCLUDING  A  STATE  OR  LOCAL  GOVERNMENT  ENTITY,  THAT
ACQUIRES PRESCRIPTION DRUGS TO USE OR DISPENSE IN PROVIDING HEALTH  CARE
TO PATIENTS.
  (B)  "PHARMACY  BENEFIT  MANAGEMENT"  MEANS  THE SERVICE PROVIDED TO A
HEALTH PLAN OR PROVIDER, DIRECTLY OR THROUGH ANOTHER  ENTITY,  INCLUDING
THE  PROCUREMENT  OF  PRESCRIPTION DRUGS TO BE DISPENSED TO PATIENTS, OR
THE ADMINISTRATION OR MANAGEMENT OF PRESCRIPTION DRUG BENEFITS,  INCLUD-
ING BUT NOT LIMITED TO, ANY OF THE FOLLOWING:

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

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