senate Bill S7384

Amended

Directs the commissioner of health to develop a standard prior prescription drug authorization request form for managed care providers

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Sponsor

Co-Sponsors

Bill Status


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor
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actions

  • 02 / May / 2012
    • REFERRED TO HEALTH
  • 11 / Jun / 2012
    • REPORTED AND COMMITTED TO RULES
  • 12 / Jun / 2012
    • AMEND (T) AND RECOMMIT TO RULES
  • 12 / Jun / 2012
    • PRINT NUMBER 7384A
  • 20 / Jun / 2012
    • ORDERED TO THIRD READING CAL.1441
  • 20 / Jun / 2012
    • SUBSTITUTED BY A10248B

Summary

Directs the commissioner of health to develop a standard prior prescription drug authorization form for managed care providers.

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Bill Details

Versions:
S7384
S7384A
Legislative Cycle:
2011-2012
Law Section:
Social Services Law
Laws Affected:
Amd ยง364-j, Soc Serv L

Votes

16
0
16
Aye
0
Nay
1
aye with reservations
0
absent
0
excused
0
abstained
show Health committee vote details

Sponsor Memo

BILL NUMBER:S7384

TITLE OF BILL:
An act
to amend the social services law, in relation to directing the
commissioner of health to develop a uniform prior prescription drug
authorization form for managed care providers

PURPOSE:
This bill directs the Department of Health to develop a uniform prior
authorization form for prescription drug benefits within Medicaid
Managed Care.

SUMMARY OF PROVISIONS:
The bill would add new subdivision 26 of section 364-j of the social
services law, which would direct the Department of Health to develop
a uniform prior authorization form to be used by Medicaid managed
care providers to determine coverage of prescription drug benefits.

JUSTIFICATION:
The 2011-12 New York State Budget, as part of a comprehensive redesign
of the Medicaid program, moved the overwhelming majority of
prescription drug coverage from the Medicaid fee-for-service program
into Medicaid Managed Care. As a result of this change, health care
providers now have more than twenty formularies and prior
authorization processes to contend with when writing prescriptions
for their Medicaid patients. Navigating this system has proven to be
a significant administrative burden for health care providers who are
already stretched thin when providing critical safety net services to
New York's most vulnerable populations.

This bill directs the Department of Health to develop a uniform form
to be used for prior authorizations related to the prescription drug
benefit within Medicaid Managed Care. By standardizing this process,
health care providers will be relieved of a substantial
administrative burden and will be better able to spend their time
caring for patients.

LEGISLATIVE HISTORY:
New bill.

FISCAL IMPLICATIONS:
None.

EFFECTIVE DATE:
Immediately.

view bill text
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  7384

                            I N  S E N A T E

                               May 2, 2012
                               ___________

Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
  printed to be committed to the Committee on Health

AN ACT to amend the social services law, in relation  to  directing  the
  commissioner  of  health  to develop a uniform prior prescription drug
  authorization form for managed care providers

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section  1.  Section  364-j  of  the social services law is amended by
adding a new subdivision 26 to read as follows:
  26. ON OR BEFORE JANUARY FIRST, TWO THOUSAND THIRTEEN, THE COMMISSION-
ER OF HEALTH SHALL DEVELOP A UNIFORM  PRIOR  AUTHORIZATION  FORM  TO  BE
UTILIZED  BY  ALL  MANAGED  CARE  PROVIDERS  FOR PURPOSES OF DETERMINING
COVERAGE OF PRESCRIPTION DRUG BENEFITS UNDER THIS TITLE.
  S 2. This act shall take effect immediately; provided,  however,  that
the  amendment  to  section  364-j  of  the social services law, made by
section one of this act shall not affect the repeal of such section  and
shall be deemed repealed therewith.






 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD15724-01-2

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