Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jun 17, 2016 |
referred to rules delivered to senate passed assembly |
Jun 14, 2016 |
amended on third reading 7707a |
May 12, 2016 |
advanced to third reading cal.606 |
May 10, 2016 |
reported |
Jan 20, 2016 |
committed to insurance |
Jan 06, 2016 |
ordered to third reading cal.309 returned to assembly died in senate |
Jun 17, 2015 |
referred to rules delivered to senate passed assembly |
Jun 15, 2015 |
ordered to third reading rules cal.413 rules report cal.413 reported |
Jun 11, 2015 |
reported referred to rules |
May 26, 2015 |
referred to insurance |
Assembly Bill A7707A
2015-2016 Legislative Session
Sponsored By
PEOPLES-STOKE
Archive: Last Bill Status - In Senate Committee Rules 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
Pamela Harris
2015-A7707 - Details
2015-A7707 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7707 2015-2016 Regular Sessions I N A S S E M B L Y May 26, 2015 ___________ Introduced by M. of A. PEOPLES-STOKES -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to prescription drug formulary changes during a contract year 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 4909 to read as follows: S 4909. PRESCRIPTION DRUG FORMULARY CHANGES. (A) A HEALTH CARE PLAN REQUIRED TO PROVIDE ESSENTIAL HEALTH BENEFITS SHALL NOT, EXCEPT AS OTHERWISE PROVIDED IN SUBSECTION (B) OF THIS SECTION, REMOVE A PRESCRIPTION DRUG FROM A FORMULARY: (I) IF THE FORMULARY INCLUDES TWO OR MORE TIERS OF BENEFITS PROVIDING FOR DIFFERENT DEDUCTIBLES, COPAYMENTS OR COINSURANCE APPLICABLE TO THE PRESCRIPTION DRUGS IN EACH TIER, MOVE A DRUG TO A TIER WITH A LARGER DEDUCTIBLE, COPAYMENT OR COINSURANCE, OR; (II) ADD UTILIZATION MANAGEMENT RESTRICTIONS TO A FORMULARY DRUG, UNLESS SUCH CHANGES OCCUR AT THE TIME OF ENROLLMENT OR ISSUANCE OF COVERAGE. SUCH PROHIBITION SHALL APPLY BEGINNING ON THE DATE ON WHICH OPEN ENROLLMENT BEGINS FOR A PLAN YEAR AND THROUGH THE END OF THE PLAN YEAR TO WHICH SUCH OPEN ENROLLMENT PERIOD APPLIES. (B) A HEALTH CARE PLAN WITH A FORMULARY THAT INCLUDES TWO OR MORE TIERS OF BENEFITS PROVIDING FOR DIFFERENT DEDUCTIBLES, COPAYMENTS OR COINSURANCE APPLICABLE TO PRESCRIPTION DRUGS IN EACH TIER MAY MOVE A PRESCRIPTION DRUG TO A TIER WITH A LARGER DEDUCIBLE, COPAYMENT OR COIN- SURANCE IF AN AB-RATED GENERIC DRUG FOR SUCH PRESCRIPTION DRUG IS ADDED TO THE FORMULARY AT THE SAME TIME. S 2. This act shall take effect on the sixtieth day after it shall become a law; provided, however, that effective immediately, the addi- tion, amendment and/or repeal of any rule or regulation necessary for the implementation of this act on its effective date is authorized to be made and completed by the superintendent of financial services on or before such date. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
co-Sponsors
Pamela Harris
2015-A7707A (ACTIVE) - Details
2015-A7707A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7707--A Cal. No. 606 2015-2016 Regular Sessions I N A S S E M B L Y May 26, 2015 ___________ Introduced by M. of A. PEOPLES-STOKES, HARRIS -- read once and referred to the Committee on Insurance -- ordered to a third reading -- commit- ted to the Committee on Insurance in accordance with Assembly Rule 3, sec. 2 -- reported from committee, advanced to a third reading, amended and ordered reprinted, retaining its place on the order of third reading AN ACT to amend the insurance law, in relation to prescription drug formulary changes during a contract year 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 4909 to read as follows: S 4909. PRESCRIPTION DRUG FORMULARY CHANGES. (A) A HEALTH CARE PLAN REQUIRED TO PROVIDE ESSENTIAL HEALTH BENEFITS SHALL NOT, EXCEPT AS OTHERWISE PROVIDED IN SUBSECTION (B) OF THIS SECTION, REMOVE A PRESCRIPTION DRUG FROM A FORMULARY: (I) IF THE FORMULARY INCLUDES TWO OR MORE TIERS OF BENEFITS PROVIDING FOR DIFFERENT DEDUCTIBLES, COPAYMENTS OR COINSURANCE APPLICABLE TO THE PRESCRIPTION DRUGS IN EACH TIER, MOVE A DRUG TO A TIER WITH A LARGER DEDUCTIBLE, COPAYMENT OR COINSURANCE, OR (II) ADD UTILIZATION MANAGEMENT RESTRICTIONS TO A FORMULARY DRUG, UNLESS SUCH CHANGES OCCUR AT THE TIME OF ENROLLMENT OR ISSUANCE OF COVERAGE. SUCH PROHIBITION SHALL APPLY BEGINNING ON THE DATE ON WHICH OPEN ENROLLMENT BEGINS FOR A PLAN YEAR AND THROUGH THE END OF THE PLAN YEAR TO WHICH SUCH OPEN ENROLLMENT PERIOD APPLIES. (B) (I) A HEALTH CARE PLAN WITH A FORMULARY THAT INCLUDES TWO OR MORE TIERS OF BENEFITS PROVIDING FOR DIFFERENT DEDUCTIBLES, COPAYMENTS OR COINSURANCE APPLICABLE TO PRESCRIPTION DRUGS IN EACH TIER MAY MOVE A PRESCRIPTION DRUG TO A TIER WITH A LARGER DEDUCIBLE, COPAYMENT OR COIN- SURANCE IF AN AB-RATED GENERIC DRUG FOR SUCH PRESCRIPTION DRUG IS ADDED TO THE FORMULARY AT THE SAME TIME. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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