Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Mar 06, 2014 |
referred to insurance |
Senate Bill S6763
2013-2014 Legislative Session
Sponsored By
(R, C, IP, RFM) 24th Senate District
Archive: Last Bill Status - In Senate Committee Insurance 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
Actions
co-Sponsors
(R, IP) Senate District
(D, WF) Senate District
(D, WF) 47th Senate District
(D, WF) Senate District
2013-S6763 (ACTIVE) - Details
2013-S6763 (ACTIVE) - Sponsor Memo
BILL NUMBER:S6763 TITLE OF BILL: An act to amend the insurance law, in relation to synchronization of multiple prescriptions and dispensing fee standardization PURPOSE: Provides for the insurance coverage of the synchronization of multiple prescriptions and dispensing fee standardization. Specifically, this bill would amend the insurance law by adding Article 32, governing for-profit commercial health insurance policies, and Article 43, governing nonprofit health insurance policies. The bill would provide coverage for a pharmaceutical claim for less than a 30-day supply for patients enrolling in medication synchronization programs. SUMMARY OF PROVISIONS: Sections 1 and 2 add the following provisions: (a) provides that a pro-rated cost-sharing rate shall be permitted and applied to prescriptions that are dispensed for less than a 30-day supply for the purpose of synchronizing the covered individual's chronic medication. (b) provides that drug coverage shall not be denied for a partial fill for any drug prescribed for the treatment of a chronic illness made in
2013-S6763 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ S. 6763 A. 8975 S E N A T E - A S S E M B L Y March 6, 2014 ___________ IN SENATE -- Introduced by Sen. LANZA -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance IN ASSEMBLY -- Introduced by M. of A. QUART -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to synchronization of multiple prescriptions and dispensing fee standardization THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The insurance law is amended by adding a new section 3224-d to read as follows: S 3224-D. PRESCRIPTION SYNCHRONIZATION AND DISPENSING FEE STANDARDI- ZATION. (A) EVERY INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY PROVIDING PRESCRIPTION DRUG COVERAGE SHALL PERMIT AND APPLY A PRO-RATED COST-SHAR- ING RATE TO PRESCRIPTIONS THAT ARE DISPENSED BY A NETWORK PHARMACY FOR LESS THAN A THIRTY DAY SUPPLY, IF THE PRESCRIBER OR PHARMACIST INDICATES THAT THE FILL OR REFILL COULD BE IN THE BEST INTEREST OF THE COVERED INDIVIDUAL OR IS FOR THE PURPOSE OF SYNCHRONIZING THE COVERED INDIVID- UAL'S CHRONIC MEDICATIONS. (B) NO INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY PROVIDING PRESCRIPTION DRUG COVERAGE SHALL DENY COVERAGE FOR THE DISPENSING OF ANY DRUG PRESCRIBED FOR THE TREATMENT OF A CHRONIC ILLNESS THAT IS MADE IN ACCORDANCE WITH A PLAN ESTABLISHED AMONG THE COVERED INDIVIDUAL, A HEALTH CARE PRACTITIONER AND A PHARMACIST TO SYNCHRONIZE THE REFILLING OF MULTIPLE PRESCRIPTIONS FOR THE COVERED INDIVIDUAL. (C) NO INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY PROVIDING PRESCRIPTION DRUG COVERAGE SHALL USE PAYMENT STRUCTURES INCORPORATING PRO-RATED DISPENSING FEES DETERMINED BY CALCULATION OF THE DAYS' SUPPLY OF MEDICATION DISPENSED. DISPENSING FEES SHALL BE DETERMINED SOLELY ON THE TOTAL NUMBER OF PRESCRIPTIONS DISPENSED. (D) NOTHING IN THIS SECTION SHALL BE DEEMED TO REQUIRE HEALTH CARE PRACTITIONERS AND PHARMACISTS TO SYNCHRONIZE THE REFILLING OF MULTIPLE PRESCRIPTIONS FOR A COVERED INDIVIDUAL. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD14035-03-4
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