Assembly Bill A7208

Vetoed By Governor
2015-2016 Legislative Session

Relates to coverage of certain prescription drugs by Medicaid managed care providers; repealer

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Archive: Last Bill Status - Vetoed by Governor

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

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2015-A7208 (ACTIVE) - Details

See Senate Version of this Bill:
S4893
Law Section:
Social Services Law
Laws Affected:
Amd ยง364-j, rpld sub 25-a, Soc Serv L

2015-A7208 (ACTIVE) - Summary

Relates to coverage of certain prescription drugs including antipsychotic, anti-depressant, anti-retroviral, anti-rejection, seizure and immunologic class drugs by Medicaid managed care providers; makes prescriber's determination final.

2015-A7208 (ACTIVE) - Bill Text download pdf 

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

                                  7208

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                             April 28, 2015
                               ___________

Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
  Committee on Health

AN ACT to amend the social  services  law,  in  relation  to  prescriber
  determination  prevailing  in  medicaid  managed  care  and  to repeal
  certain provisions of such law relating thereto

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

  Section 1. Subdivision 25 of section 364-j of the social services law,
as  added  by section 55 of part D of chapter 56 of the laws of 2012, is
amended to read as follows:
  25. [Effective January first, two thousand thirteen,  notwithstanding]
NOTWITHSTANDING  any  provision  of  law  to  the contrary, managed care
providers shall cover medically  necessary  prescription  drugs  in  the
ANTI-DEPRESSANT,  ANTI-RETROVIRAL,  ANTI-REJECTION,  SEIZURE,  EPILEPSY,
ENDOCRINE, HEMATOLOGIC, IMMUNOLOGIC AND atypical antipsychotic therapeu-
tic [class] CLASSES, including non-formulary drugs[, upon  demonstration
by]. IF the prescriber, after consulting with the managed care provider,
DETERMINES  that such drugs, in the prescriber's reasonable professional
judgment, are medically necessary and warranted, THE PRESCRIBER'S DETER-
MINATION SHALL BE FINAL.
  S 2. Subdivision 25-a of section 364-j of the social services  law  is
REPEALED.
  S  3.  This  act  shall take effect on the sixtieth day after it shall
have become a law; provided that effective immediately, the commissioner
of health may make regulations  and  take  other  actions  necessary  to
implement  this act on that date, and provided, further, that the amend-
ments to section 364-j of the social services law made by this act shall
not affect the repeal of such section and shall be deemed repealed ther-
ewith.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09267-02-5

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