Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jun 02, 2016 |
print number 7595a |
Jun 02, 2016 |
amend and recommit to insurance |
May 10, 2016 |
referred to insurance |
Senate Bill S7595A
2015-2016 Legislative Session
Sponsored By
(R, C, IP) 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
(R, C, IP) Senate District
(D) Senate District
2015-S7595 - Details
- See Assembly Version of this Bill:
- A10290
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2017-2018:
A1929
2019-2020: A347
2021-2022: A5787
2015-S7595 - Sponsor Memo
BILL NUMBER: S7595 TITLE OF BILL : An act to amend the insurance law, in relation to coverage of prescriptions obtained by mail order or at a non-retail pharmacy PURPOSE : Ensure patient access to retail pharmacies upon the prescribers determination that mail order delivery would not be appropriate SUMMARY OF PROVISIONS : Sections one, two and three amend Insurance Law §§ 3216, 3221 and 4303 respectively to provide that a prescriber, after consultation with the patient's insurer, may determine that mail order delivery of prescription medication is not appropriate given the patient's residence, medical condition, storage requirements of the drug, availability of the insured to receive the prescription or the patient's ability to understand guidance and support over the telephone. Provided the retail pharmacy agrees to the same reimbursement amount and is able to fill the prescription, the prescribers determination shall be final. Section four provides that the act take effect immediately.
2015-S7595 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7595 I N S E N A T E May 10, 2016 ___________ Introduced by Sens. HANNON, GOLDEN -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance AN ACT to amend the insurance law, in relation to coverage of prescriptions obtained by mail order or at a non-retail pharmacy THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The opening paragraph of paragraph 28 of subsection (i) of section 3216 of the insurance law, as added by chapter 597 of the laws of 2011, is designated subparagraph (A) and a new subparagraph (B) is added to read as follows: (B) NOTWITHSTANDING ANY OTHER PROVISION OF THIS PARAGRAPH, IF A PRES- CRIBER, AFTER CONSULTING WITH THE INSURER REGARDING THE APPROPRIATENESS OF MAIL ORDER DELIVERY GIVEN: (I) THE RESIDENCE OR DELIVERY LOCATION OF THE INSURED; (II) THE MEDICAL CONDITION OF THE INSURED; (III) THE STOR- AGE REQUIREMENTS OF THE DRUG; (IV) THE AVAILABILITY OF THE INSURED TO RECEIVE THE PRESCRIPTION; OR (V) THE INSURED'S ABILITY TO COMPREHEND PHARMACEUTICAL GUIDANCE AND SUPPORT OVER THE TELEPHONE, DETERMINES THAT A DRUG AS PRESCRIBED ON AN INDIVIDUAL BASIS IS MOST APPROPRIATELY FILLED AT A RETAIL LOCATION, PROVIDED THAT A RETAIL PHARMACY AGREES IN ADVANCE TO THE SAME REIMBURSEMENT AMOUNT AND IS ABLE TO FILL THE PRESCRIPTION, THE PRESCRIBER'S DETERMINATION SHALL BE FINAL. S 2. The opening paragraph of paragraph 18 of subsection (1) of section 3221 of the insurance law is designated subparagraph (A) and a new subparagraph (B) is added to read as follows: (B) NOTWITHSTANDING ANY OTHER PROVISION OF THIS PARAGRAPH, IF A PRES- CRIBER, AFTER CONSULTING WITH THE INSURER REGARDING THE APPROPRIATENESS OF MAIL ORDER DELIVERY GIVEN: (I) THE RESIDENCE OR DELIVERY LOCATION OF THE INSURED; (II) THE MEDICAL CONDITION OF THE INSURED; (III) THE STOR- AGE REQUIREMENTS OF THE DRUG; (IV) THE AVAILABILITY OF THE INSURED TO RECEIVE THE PRESCRIPTION; OR (V) THE INSURED'S ABILITY TO COMPREHEND PHARMACEUTICAL GUIDANCE AND SUPPORT OVER THE TELEPHONE, DETERMINES THAT A DRUG AS PRESCRIBED ON AN INDIVIDUAL BASIS IS MOST APPROPRIATELY FILLED AT A RETAIL LOCATION, PROVIDED THAT A RETAIL PHARMACY AGREES IN ADVANCE EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD15123-03-6
co-Sponsors
(R, C, IP) Senate District
(D) Senate District
2015-S7595A (ACTIVE) - Details
- See Assembly Version of this Bill:
- A10290
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2017-2018:
A1929
2019-2020: A347
2021-2022: A5787
2015-S7595A (ACTIVE) - Sponsor Memo
BILL NUMBER: S7595A TITLE OF BILL : An act to amend the insurance law, in relation to coverage of prescriptions obtained by mail order or at a non-retail pharmacy PURPOSE : Ensure patient access to retail pharmacies upon the prescribers determination that mail order delivery would not be appropriate SUMMARY OF PROVISIONS : Sections one, two and three amend Insurance Law §§ 3216, 3221 and 4303 respectively to provide that a prescriber, after consultation with the patient's insurer, may determine that mail order delivery of prescription medication is not appropriate given the patient's residence, medical condition, storage requirements of the drug, availability of the insured to receive the prescription or the patient's ability to understand guidance and support over the telephone. Provided a network pharmacy chosen by the patient agrees to the same reimbursement amount and is able to fill the prescription, the prescribers determination shall be final. Section four provides that the act take effect immediately.
2015-S7595A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7595--A I N S E N A T E May 10, 2016 ___________ Introduced by Sens. HANNON, GOLDEN, KAMINSKY -- read twice and ordered printed, and when printed to be committed to the Committee on Insur- ance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to coverage of prescriptions obtained by mail order or at a non-retail pharmacy THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The opening paragraph of paragraph 28 of subsection (i) of section 3216 of the insurance law, as added by chapter 589 of the laws of 2011, is designated subparagraph (A) and a new subparagraph (B) is added to read as follows: (B) NOTWITHSTANDING ANY OTHER PROVISION OF THIS PARAGRAPH, IF A PRES- CRIBER, AFTER CONSULTING WITH THE INSURER REGARDING THE APPROPRIATENESS OF MAIL ORDER DELIVERY GIVEN: (I) THE RESIDENCE OR DELIVERY LOCATION OF THE INSURED; (II) THE MEDICAL CONDITION OF THE INSURED; (III) THE STOR- AGE REQUIREMENTS OF THE DRUG; (IV) THE AVAILABILITY OF THE INSURED TO RECEIVE THE PRESCRIPTION; OR (V) THE INSURED'S ABILITY TO COMPREHEND PHARMACEUTICAL GUIDANCE AND SUPPORT OVER THE TELEPHONE, DETERMINES THAT A DRUG AS PRESCRIBED ON AN INDIVIDUAL BASIS IS MOST APPROPRIATELY FILLED AT A RETAIL LOCATION, PROVIDED THAT AN IN-NETWORK RETAIL PHARMACY OF THE PATIENT'S CHOOSING AGREES TO THE SAME REIMBURSEMENT AMOUNT AND IS ABLE TO FILL THE PRESCRIPTION, THE PRESCRIBER'S DETERMINATION SHALL BE FINAL. S 2. The opening paragraph of paragraph 18 of subsection (1) of section 3221 of the insurance law is designated subparagraph (A) and a new subparagraph (B) is added to read as follows: (B) NOTWITHSTANDING ANY OTHER PROVISION OF THIS PARAGRAPH, IF A PRES- CRIBER, AFTER CONSULTING WITH THE INSURER REGARDING THE APPROPRIATENESS OF MAIL ORDER DELIVERY GIVEN: (I) THE RESIDENCE OR DELIVERY LOCATION OF THE INSURED; (II) THE MEDICAL CONDITION OF THE INSURED; (III) THE STOR- AGE REQUIREMENTS OF THE DRUG; (IV) THE AVAILABILITY OF THE INSURED TO RECEIVE THE PRESCRIPTION; OR (V) THE INSURED'S ABILITY TO COMPREHEND PHARMACEUTICAL GUIDANCE AND SUPPORT OVER THE TELEPHONE, DETERMINES THAT A DRUG AS PRESCRIBED ON AN INDIVIDUAL BASIS IS MOST APPROPRIATELY FILLED EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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