Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Feb 17, 2012 |
signed chap.10 |
Feb 07, 2012 |
delivered to governor |
Feb 06, 2012 |
returned to assembly passed senate 3rd reading cal.18 substituted for s6126 |
Feb 06, 2012 |
substituted by a8900 |
Jan 09, 2012 |
ordered to third reading cal.18 reported and committed to rules |
Jan 04, 2012 |
referred to insurance |
Senate Bill S6126
Signed By Governor2011-2012 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status Via A8900 - Signed by Governor
- 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
Votes
2011-S6126 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A8900
- Law Section:
- Insurance Law
- Laws Affected:
- Amd ยงยง3216, 3221 & 4303, Ins L
2011-S6126 (ACTIVE) - Sponsor Memo
BILL NUMBER:S6126 TITLE OF BILL: An act to amend the insurance law, in relation to the purchase of prescription drugs PURPOSE: The purpose of this bill is to make clarifying changes to Chapter 598 of the Laws of 2011 to ensure proper implementation of the intent of the law. SUMMARY OF PROVISIONS: This bill would clarify the provisions of Chapter 598 of the Laws of 2011 to require that insurance policies that provide coverage for prescription fertility drugs purchased through a network participating mail order or non-retail specialty pharmacy shall provide the same coverage when such drugs are purchased from a network participating non-mail order retail pharmacy. The bill would further require that prior to such coverage by the insurer, the network participating non-mail order retail pharmacy must accept the reimbursement rate and other contractual terms and conditions as the insurer has established for network participating mail order or non-retail specialty pharmacies. The bill would also make conforming changes within sections 3216, 3221
2011-S6126 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 6126 I N S E N A T E (PREFILED) January 4, 2012 ___________ Introduced by Sen. SKELOS -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance AN ACT to amend the insurance law, in relation to the purchase of prescription drugs THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph 13-a of subsection (i) of section 3216 of the insurance law, as added by Chapter 598 of the laws of 2011, is amended to read as follows: (13-a) Every policy that provides coverage for prescription fertility drugs and requires or permits prescription drugs to be purchased through a NETWORK PARTICIPATING mail order OR OTHER NON-RETAIL pharmacy shall provide the same coverage for prescription fertility drugs when such drugs are purchased from a NETWORK PARTICIPATING NON-MAIL ORDER RETAIL pharmacy [that is not a mail order pharmacy] PROVIDED THAT THE NETWORK PARTICIPATING NON-MAIL ORDER RETAIL PHARMACY AGREES IN ADVANCE THROUGH A CONTRACTUAL NETWORK AGREEMENT, TO THE SAME REIMBURSEMENT AMOUNT, AS WELL AS THE SAME APPLICABLE TERMS AND CONDITIONS, THAT THE INSURER HAS ESTAB- LISHED FOR A NETWORK PARTICIPATING MAIL ORDER OR OTHER NON-RETAIL PHAR- MACY. [Such] IN SUCH CASE, THE policy shall not impose any [additional] fee, co-payment, co-insurance, deductible or other condition on any insured who [does not elect] ELECTS to purchase prescription fertility drugs through a [mail order] NETWORK PARTICIPATING NON-MAIL ORDER RETAIL pharmacy THAT IT DOES NOT IMPOSE ON ANY INSURED WHO PURCHASES PRESCRIPTION FERTILITY DRUGS THROUGH A NETWORK PARTICIPATING MAIL ORDER OR OTHER NON-RETAIL PHARMACY. S 2. Subparagraph (D) of paragraph 6 of subsection (k) of section 3221 of the insurance law, as added by Chapter 598 of the laws of 2011, is amended to read as follows: (D) Every policy that provides coverage for prescription fertility drugs and requires or permits prescription drugs to be purchased through a NETWORK PARTICIPATING mail order OR OTHER NON-RETAIL pharmacy shall provide the same coverage for prescription fertility drugs when such EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
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