Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 06, 2016 |
referred to insurance |
Apr 30, 2015 |
print number 2809a |
Apr 30, 2015 |
amend and recommit to insurance |
Jan 29, 2015 |
referred to insurance |
Senate Bill S2809A
2015-2016 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
Bill Amendments
co-Sponsors
(D, WF) 46th Senate District
(D) Senate District
(R) Senate District
(D) Senate District
2015-S2809 - Details
2015-S2809 - Sponsor Memo
BILL NUMBER:S2809 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-clay 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.
2015-S2809 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ S. 2809 A. 4036 2015-2016 Regular Sessions S E N A T E - A S S E M B L Y January 29, 2015 ___________ 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 AND SUCH INDIVIDUAL REQUESTS OR AGREES TO LESS THAN A THIRTY DAY SUPPLY FOR THE PURPOSE OF SYNCHRONIZING THE COVERED INDIVIDUAL'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. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02009-02-5
co-Sponsors
(D, WF) 46th Senate District
(D) Senate District
(R) Senate District
(D) Senate District
2015-S2809A (ACTIVE) - Details
2015-S2809A (ACTIVE) - Sponsor Memo
BILL NUMBER:S2809A 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-clay 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
2015-S2809A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ S. 2809--A A. 4036--A 2015-2016 Regular Sessions S E N A T E - A S S E M B L Y January 29, 2015 ___________ IN SENATE -- Introduced by Sens. LANZA, BRESLIN, CARLUCCI, CROCI, DILAN, FUNKE, GOLDEN, LARKIN, MARTINS, RIVERA, SAMPSON -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee IN ASSEMBLY -- Introduced by M. of A. QUART, McDONALD, FAHY, LAVINE, HEVESI, GOLDFEDER, BRAUNSTEIN, SIMANOWITZ, RYAN, BRINDISI, STECK, SKOUFIS, AUBRY, PRETLOW, SEAWRIGHT, WEPRIN, SCHIMEL, RIVERA, COOK, BARCLAY, MOYA -- Multi-Sponsored by -- M. of A. CRESPO, DILAN, ROBIN- SON -- read once and referred to the Committee on Insurance -- commit- tee discharged, bill amended, ordered reprinted as amended and recom- mitted to said committee 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 DAILY PRO-RATED COST-SHARING RATE TO PRESCRIPTIONS THAT ARE DISPENSED BY A NETWORK PHAR- MACY FOR LESS THAN A THIRTY DAY SUPPLY, WHEN IT IS AGREED AMONG THE COVERED INDIVIDUAL, A HEALTH CARE PRACTITIONER, AND A PHARMACIST THAT SYNCHRONIZATION OF MULTIPLE PRESCRIPTIONS FOR THE TREATMENT OF A CHRONIC ILLNESS IS IN THE BEST INTEREST OF THE COVERED INDIVIDUAL FOR THE MANAGEMENT OR TREATMENT OF THAT CHRONIC ILLNESS. (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 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02009-03-5
Comments
Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.
Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.
Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.