Assembly Bill A6887

2025-2026 Legislative Session

Relates to contracted network pharmacy use

download bill text pdf

Sponsored By

Current Bill Status - In Assembly 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

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2025-A6887 (ACTIVE) - Details

See Senate Version of this Bill:
S4926
Current Committee:
Assembly Labor
Law Section:
Workers' Compensation Law
Laws Affected:
Amd §13, Work Comp L
Versions Introduced in Other Legislative Sessions:
2019-2020: A8117, S7245
2021-2022: A1013, S1026
2023-2024: A1219, S1974

2025-A6887 (ACTIVE) - Summary

Relates to contracted network pharmacy use.

2025-A6887 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6887
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 18, 2025
                                ___________
 
 Introduced  by  M.  of  A. BRONSON, BENEDETTO, BRABENEC, HEVESI, COLTON,
   DeSTEFANO, DURSO, JACOBSON, LUCAS, DAVILA, BICHOTTE HERMELYN  --  read
   once and referred to the Committee on Labor
 
 AN ACT to amend the workers' compensation law, in relation to contracted
   network pharmacy use

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subdivision (i) of section 13 of the workers'  compensation
 law is amended by adding a new paragraph 6 to read as follows:
   (6) (I) NOTWITHSTANDING PARAGRAPH FIVE OF THIS SUBDIVISION, A CLAIMANT
 SHALL  NOT BE REQUIRED TO OBTAIN PRESCRIBED MEDICINES THROUGH A PHARMACY
 WITH WHICH THE EMPLOYER  OR  CARRIER  HAS  A  CONTRACT  AND  MAY  OBTAIN
 PRESCRIBED MEDICINES FROM A PHARMACY OF SUCH CLAIMANT'S CHOICE WHEN:
   (A)  THE  EMPLOYER OR INSURANCE CARRIER HAS REFUSED TO PROVIDE PAYMENT
 FOR THE CLAIMANT'S PRESCRIBED MEDICATION AND THE CLAIMANT IS  UNABLE  TO
 OBTAIN THE PRESCRIBED MEDICATION FROM A PHARMACY WITH WHICH THE EMPLOYER
 OR  CARRIER  HAS  A  CONTRACT  DUE  TO  THE  FAILURE  TO  AUTHORIZE SUCH
 PRESCRIBED MEDICATION WITHIN SEVENTY-TWO HOURS OF SUCH REQUEST; OR
   (B) THE PRESCRIBED MEDICATION IS SCHEDULED FOR REAUTHORIZATION BUT THE
 EMPLOYER OR CARRIER HAS FAILED TO REAUTHORIZE SUCH PRESCRIBED MEDICATION
 WITHIN SEVENTY-TWO HOURS OF THE REQUEST FOR ONE OR MORE OF THE FOLLOWING
 REASONS:
   (I) THE EMPLOYER, CARRIER, OR NETWORK PHARMACY FAILED  TO  RESPOND  TO
 THE REAUTHORIZATION REQUEST;
   (II) MEDICAL REPORTS HAVE NOT YET BEEN FILED FOR REAUTHORIZATION, OR A
 FILED MEDICAL REPORT CONTAINS A DEFECT;
   (III)  THE  MEDICATION  HAS  BEEN  AUTHORIZED  PREVIOUSLY; HOWEVER THE
 EMPLOYER OR CARRIER DENIES REAUTHORIZATION ON THE BASIS THAT THE MEDICAL
 TREATMENT GUIDELINES DO NOT SUPPORT REAUTHORIZATION;
   (IV) AN INDEPENDENT MEDICAL EXAMINER DISAGREES WITH REAUTHORIZATION;
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD09234-01-5
 A. 6887                             2
              

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