Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Mar 18, 2025 |
referred to labor |
Assembly Bill A6887
2025-2026 Legislative Session
Sponsored By
BRONSON
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
Actions
co-Sponsors
Michael Benedetto
Karl Brabenec
Andrew Hevesi
William Colton
2025-A6887 (ACTIVE) - Details
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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