Assembly Bill A8900

Signed By Governor
2011-2012 Legislative Session

Relates to the purchase of prescription drugs

download bill text pdf

Sponsored By

Archive: Last Bill Status - Signed by Governor


  • 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-A8900 (ACTIVE) - Details

See Senate Version of this Bill:
S6126
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221 & 4303, Ins L

2011-A8900 (ACTIVE) - Summary

Enacts chapter amendment to Chapter 598 of 2011 relating to the purchase of prescription drugs through a network participating non-mail order retail pharmacy.

2011-A8900 (ACTIVE) - Bill Text download pdf

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

                                  8900

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 4, 2012
                               ___________

Introduced by M. of A. SILVER -- read once and referred to the Committee
  on Insurance

AN  ACT  to  amend  the  insurance  law,  in relation to the purchase of
  prescription drugs

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

  Section  1.  Paragraph  13-a  of subsection (i) of section 3216 of the
insurance law, as added by Chapter 598 of the laws of 2011,  is  amended
to read as follows:
  (13-a)  Every policy that provides coverage for prescription fertility
drugs and requires or permits prescription drugs to be purchased through
a NETWORK PARTICIPATING mail order OR OTHER  NON-RETAIL  pharmacy  shall
provide  the  same  coverage  for prescription fertility drugs when such
drugs are purchased from a NETWORK PARTICIPATING NON-MAIL  ORDER  RETAIL
pharmacy  [that  is not a mail order pharmacy] PROVIDED THAT THE NETWORK
PARTICIPATING NON-MAIL ORDER RETAIL PHARMACY AGREES IN ADVANCE THROUGH A
CONTRACTUAL NETWORK AGREEMENT, TO THE SAME REIMBURSEMENT AMOUNT, AS WELL
AS THE SAME APPLICABLE TERMS AND CONDITIONS, THAT THE INSURER HAS ESTAB-
LISHED FOR A NETWORK PARTICIPATING MAIL ORDER OR OTHER NON-RETAIL  PHAR-
MACY.  [Such] IN SUCH CASE, THE policy shall not impose any [additional]
fee,  co-payment,  co-insurance,  deductible  or  other condition on any
insured who [does not elect] ELECTS to purchase  prescription  fertility
drugs through a [mail order] NETWORK PARTICIPATING NON-MAIL ORDER RETAIL
pharmacy   THAT  IT  DOES  NOT  IMPOSE  ON  ANY  INSURED  WHO  PURCHASES
PRESCRIPTION FERTILITY DRUGS THROUGH A NETWORK PARTICIPATING MAIL  ORDER
OR OTHER NON-RETAIL PHARMACY.
  S 2. Subparagraph (D) of paragraph 6 of subsection (k) of section 3221
of  the  insurance  law, as added by Chapter 598 of the laws of 2011, is
amended to read as follows:
  (D) Every policy that provides  coverage  for  prescription  fertility
drugs and requires or permits prescription drugs to be purchased through
a  NETWORK  PARTICIPATING  mail order OR OTHER NON-RETAIL pharmacy shall
provide the same coverage for prescription  fertility  drugs  when  such

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
              

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