Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Mar 19, 2018 |
referred to insurance delivered to senate passed assembly |
Jan 09, 2018 |
amended on third reading 4306b |
Jan 03, 2018 |
ordered to third reading cal.326 returned to assembly died in senate |
Jun 19, 2017 |
referred to rules delivered to senate passed assembly |
May 23, 2017 |
amended on third reading (t) 4306a |
May 18, 2017 |
advanced to third reading cal.414 |
May 16, 2017 |
reported |
Feb 02, 2017 |
referred to insurance |
Assembly Bill A4306B
2017-2018 Legislative Session
Sponsored By
QUART
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
John T. McDonald III
multi-Sponsors
Jeffrion Aubry
William A. Barclay
Edward Braunstein
Anthony Brindisi
2017-A4306 - Details
2017-A4306 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4306 2017-2018 Regular Sessions I N A S S E M B L Y February 2, 2017 ___________ Introduced by M. of A. QUART -- Multi-Sponsored by -- M. of A. AUBRY, BARCLAY, BRAUNSTEIN, BRINDISI, COOK, CRESPO, CYMBROWITZ, DILAN, FAHY, HEVESI, McDONALD, MOYA, PRETLOW, RIVERA, RYAN, SEAWRIGHT, SIMANOWITZ, SKOUFIS, STECK, WEPRIN -- 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: § 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 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. EVERY INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY MUST ALLOW A PHARMACY TO OVERRIDE ANY DENIAL CODES INDICATING THAT A PRESCRIPTION IS BEING REFILLED TOO SOON FOR THE PURPOSES OF MEDICATION SYNCHRONIZATION. (C) NO INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY PROVIDING PRESCRIPTION DRUG COVERAGE SHALL USE PAYMENT STRUCTURES INCORPORATING EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
co-Sponsors
John T. McDonald III
Luis R. Sepúlveda
Thomas Abinanti
Matthew Titone
multi-Sponsors
Jeffrion Aubry
William A. Barclay
Edward Braunstein
Anthony Brindisi
2017-A4306A - Details
2017-A4306A - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4306--A Cal. No. 414 2017-2018 Regular Sessions I N A S S E M B L Y February 2, 2017 ___________ Introduced by M. of A. QUART, McDONALD -- Multi-Sponsored by -- M. of A. AUBRY, BARCLAY, BRAUNSTEIN, BRINDISI, COOK, CRESPO, CYMBROWITZ, DILAN, FAHY, HEVESI, MOYA, PRETLOW, RIVERA, RYAN, SEAWRIGHT, SIMANOWITZ, SKOUFIS, STECK, WEPRIN -- read once and referred to the Committee on Insurance -- 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 synchronization of multiple prescriptions 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: § 3224-D. PRESCRIPTION SYNCHRONIZATION. (A) EVERY INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY PROVIDING PRESCRIPTION DRUG COVERAGE WHEN APPLI- CABLE TO PERMIT SYNCHRONIZATION 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 PROVIDED THAT ALL OF THE FOLLOWING APPLY: (I) THE MEDICATIONS ARE COVERED BY THE POLICY OR PLAN. (II) THE MEDICATIONS ARE USED FOR TREATMENT AND MANAGEMENT OF CHRONIC CONDITIONS THAT ARE SUBJECT TO REFILLS. (III) THE MEDICATIONS ARE NOT A SCHEDULE II CONTROLLED SUBSTANCE OR A SCHEDULE III CONTROLLED SUBSTANCE CONTAINING HYDROCODONE. (IV) THE MEDICATIONS MEET ALL PRIOR AUTHORIZATION CRITERIA SPECIFIC TO MEDICATIONS AT THE TIME OF THE SYNCHRONIZATION REQUEST. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
co-Sponsors
John T. McDonald III
Luis R. Sepúlveda
Thomas Abinanti
Matthew Titone
multi-Sponsors
Jeffrion Aubry
William A. Barclay
Edward Braunstein
Anthony Brindisi
2017-A4306B (ACTIVE) - Details
2017-A4306B (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4306--B Cal. No. 326 2017-2018 Regular Sessions I N A S S E M B L Y February 2, 2017 ___________ Introduced by M. of A. QUART, McDONALD, SEPULVEDA, ABINANTI, TITONE, PHEFFER AMATO, GARBARINO, SOLAGES, RAIA, GALEF, SKOUFIS -- Multi-Spon- sored by -- M. of A. AUBRY, BARCLAY, BRAUNSTEIN, BRINDISI, COOK, CRES- PO, CYMBROWITZ, DILAN, FAHY, HEVESI, PRETLOW, RIVERA, RYAN, SEAWRIGHT, STECK, WEPRIN -- read once and referred to the Committee on Insurance -- reported from committee, advanced to a third reading, amended and ordered reprinted, retaining its place on the order of third reading -- ordered to a third reading, amended and ordered reprinted, retain- ing its place on the order of third reading AN ACT to amend the insurance law, in relation to synchronization of multiple prescriptions 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: § 3224-D. PRESCRIPTION SYNCHRONIZATION. (A) EVERY INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY PROVIDING PRESCRIPTION DRUG COVERAGE WHEN APPLI- CABLE TO PERMIT SYNCHRONIZATION 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 PROVIDED THAT ALL OF THE FOLLOWING APPLY: (I) THE MEDICATIONS ARE COVERED BY THE POLICY OR PLAN. (II) THE MEDICATIONS ARE USED FOR TREATMENT AND MANAGEMENT OF CHRONIC CONDITIONS THAT ARE SUBJECT TO REFILLS. (III) THE MEDICATIONS ARE NOT A SCHEDULE II CONTROLLED SUBSTANCE OR A SCHEDULE III CONTROLLED SUBSTANCE CONTAINING HYDROCODONE. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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.