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Assembly Bill A10229B

2009-2010 Legislative Session

Relates to coverage for refills of prescription eye drops

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Archive: Last Bill Status - In Assembly Committee

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Bill Amendments

co-Sponsors

multi-Sponsors

2009-A10229 - Details

See Senate Version of this Bill:
S7001
Current Committee:
Assembly Rules
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2011-2012 Legislative Session:
A1219, S1430

2009-A10229 - Summary

Requires coverage for the authorized refill of any prescription eye drop medication under certain circumstances when such refill is requested prior to expiration of the period of usage.

2009-A10229 - Sponsor Memo

2009-A10229 - Bill Text download pdf

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

                                  10229

                          I N  A S S E M B L Y

                             March 11, 2010
                               ___________

Introduced  by  M. of A. BING -- read once and referred to the Committee
  on Insurance

AN ACT to amend the insurance law, in relation to prescription  coverage
  for eye drops

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

  Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
amended by adding a new paragraph 27 to read as follows:
  (27)  NOTWITHSTANDING  TITLE  ELEVEN  OF  ARTICLE  FIVE  OF THE SOCIAL
SERVICES LAW OR ANY OTHER  LAW  TO  THE  CONTRARY,  EVERY  POLICY  WHICH
PROVIDES  COVERAGE FOR PRESCRIPTION DRUGS SHALL PROVIDE COVERAGE FOR THE
AUTHORIZED REFILL OF ANY PRESCRIPTION  EYE  DROP  MEDICATION  WHEN  SUCH
REFILL  IS  REQUESTED  PRIOR TO THE EXPIRATION OF THE INTENDED PERIOD OF
USE; PROVIDED THAT NO PRESCRIPTION  MAY  BE  REFILLED  MORE  TIMES  THAN
AUTHORIZED  BY  THE PRESCRIBING PROVIDER.   COVERAGE SHALL NOT BE DENIED
FOR A RENEWAL OF AN EYE DROP PRESCRIPTION  PURSUANT  TO  THIS  PROVISION
PRIOR  TO  THE  EXPIRATION  OF  THE  PERIOD  OF  USAGE AUTHORIZED BY THE
PRESCRIBING PROVIDER.
  S 2. Subsection (k) of section 3221 of the insurance law is amended by
adding a new paragraph 16 to read as follows:
  (16) NOTWITHSTANDING TITLE  ELEVEN  OF  ARTICLE  FIVE  OF  THE  SOCIAL
SERVICES  LAW  OR  ANY  OTHER  LAW  TO  THE CONTRARY, EVERY POLICY WHICH
PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL PROVIDE COVERAGE FOR  THE
AUTHORIZED  REFILL  OF  ANY  PRESCRIPTION  EYE DROP MEDICATION WHEN SUCH
REFILL IS REQUESTED PRIOR TO THE EXPIRATION OF THE  INTENDED  PERIOD  OF
USE;  PROVIDED  THAT  NO  PRESCRIPTION  MAY  BE REFILLED MORE TIMES THAN
AUTHORIZED BY THE PRESCRIBING PROVIDER.   COVERAGE SHALL NOT  BE  DENIED
FOR  A  RENEWAL  OF  AN EYE DROP PRESCRIPTION PURSUANT TO THIS PROVISION
PRIOR TO THE EXPIRATION  OF  THE  PERIOD  OF  USAGE  AUTHORIZED  BY  THE
PRESCRIBING PROVIDER.
  S  3.  Section  4303  of  the insurance law is amended by adding a new
subsection (gg) to read as follows:
  (GG) NOTWITHSTANDING TITLE  ELEVEN  OF  ARTICLE  FIVE  OF  THE  SOCIAL
SERVICES  LAW  OR  ANY  OTHER  LAW  TO  THE CONTRARY, EVERY POLICY WHICH

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

co-Sponsors

multi-Sponsors

2009-A10229A - Details

See Senate Version of this Bill:
S7001
Current Committee:
Assembly Rules
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2011-2012 Legislative Session:
A1219, S1430

2009-A10229A - Summary

Requires coverage for the authorized refill of any prescription eye drop medication under certain circumstances when such refill is requested prior to expiration of the period of usage.

2009-A10229A - Bill Text download pdf

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

                                10229--A

                          I N  A S S E M B L Y

                             March 11, 2010
                               ___________

Introduced  by  M.  of  A.  BING,  CYMBROWITZ,  CASTRO, KOON, ROSENTHAL,
  ZEBROWSKI -- Multi-Sponsored by -- M. of A. CRESPO, GABRYSZAK, GIBSON,
  GLICK, JOHN, MAYERSOHN,  McENENY,  MENG,  PHEFFER,  ROBINSON,  TITONE,
  TOWNS  --  read  once  and  referred  to the Committee on Insurance --
  committee discharged, bill amended, ordered reprinted as  amended  and
  recommitted to said committee

AN  ACT to amend the insurance law, in relation to prescription coverage
  for eye drops

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

  Section  1.  Subsection  (i)  of  section 3216 of the insurance law is
amended by adding a new paragraph 27 to read as follows:
  (27) NOTWITHSTANDING TITLE  ELEVEN  OF  ARTICLE  FIVE  OF  THE  SOCIAL
SERVICES  LAW  OR  ANY  OTHER  LAW  TO  THE CONTRARY, EVERY POLICY WHICH
PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL, WITH REGARD TO EYE  DROP
MEDICATION REQUIRING A PRESCRIPTION THAT HAS BEEN APPROVED BY THE INSUR-
ER  FOR  COVERAGE,  ALLOW  FOR THE LIMITED REFILLING OF THE PRESCRIPTION
PRIOR TO THE LAST DAY OF THE APPROVED DOSAGE PERIOD  WITHOUT  REGARD  TO
ANY  COVERAGE RESTRICTIONS ON EARLY REFILL OF RENEWALS. PROVIDED, HOWEV-
ER, THAT ANY REFILL DISPENSED PRIOR TO THE EXPIRATION OF THE  PRESCRIBED
AND  APPROVED  COVERAGE PERIOD PURSUANT TO THIS PARAGRAPH, SHALL, TO THE
EXTENT PRACTICABLE, BE LIMITED IN QUANTITY  SO  AS  NOT  TO  EXCEED  THE
REMAINING  DOSAGE  INITIALLY  APPROVED  FOR COVERAGE. PROVIDED, FURTHER,
THAT SUCH LIMITED REFILLING SHALL NOT LIMIT OR  RESTRICT  COVERAGE  WITH
REGARD  TO  ANY PREVIOUSLY OR SUBSEQUENTLY APPROVED PRESCRIPTION FOR EYE
DROP MEDICATION AND SHALL BE SUBJECT TO THE TERMS AND CONDITIONS OF  THE
POLICY OTHERWISE APPLICABLE TO THIS COVERAGE.
  S 2. Subsection (k) of section 3221 of the insurance law is amended by
adding a new paragraph 16 to read as follows:
  (16)  NOTWITHSTANDING  TITLE  ELEVEN  OF  ARTICLE  FIVE  OF THE SOCIAL
SERVICES LAW OR ANY OTHER  LAW  TO  THE  CONTRARY,  EVERY  POLICY  WHICH
PROVIDES  COVERAGE FOR PRESCRIPTION DRUGS SHALL, WITH REGARD TO EYE DROP
MEDICATION REQUIRING A PRESCRIPTION THAT HAS BEEN APPROVED BY THE INSUR-
ER FOR COVERAGE, ALLOW FOR THE LIMITED  REFILLING  OF  THE  PRESCRIPTION

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

co-Sponsors

multi-Sponsors

2009-A10229B (ACTIVE) - Details

See Senate Version of this Bill:
S7001
Current Committee:
Assembly Rules
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2011-2012 Legislative Session:
A1219, S1430

2009-A10229B (ACTIVE) - Summary

Requires coverage for the authorized refill of any prescription eye drop medication under certain circumstances when such refill is requested prior to expiration of the period of usage.

2009-A10229B (ACTIVE) - Bill Text download pdf

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

                                10229--B

                          I N  A S S E M B L Y

                             March 11, 2010
                               ___________

Introduced  by  M.  of  A.  BING,  CYMBROWITZ,  CASTRO, KOON, ROSENTHAL,
  ZEBROWSKI -- Multi-Sponsored by -- M. of A. CRESPO, GABRYSZAK, GIBSON,
  GLICK, JOHN, MAYERSOHN,  McENENY,  MENG,  PHEFFER,  ROBINSON,  TITONE,
  TOWNS  --  read  once  and  referred  to the Committee on Insurance --
  committee discharged, bill amended, ordered reprinted as  amended  and
  recommitted  to  said committee -- committee discharged, bill amended,
  ordered reprinted as amended and recommitted to said committee

AN ACT to amend the insurance law, in relation to prescription  coverage
  for eye drops

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

  Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
amended by adding a new paragraph 27 to read as follows:
  (27)  NOTWITHSTANDING  TITLE  ELEVEN  OF  ARTICLE  FIVE  OF THE SOCIAL
SERVICES LAW OR ANY OTHER  LAW  TO  THE  CONTRARY,  EVERY  POLICY  WHICH
PROVIDES  COVERAGE FOR PRESCRIPTION DRUGS SHALL, WITH REGARD TO EYE DROP
MEDICATION REQUIRING A PRESCRIPTION THAT HAS BEEN APPROVED BY THE INSUR-
ER FOR COVERAGE, ALLOW FOR THE LIMITED  REFILLING  OF  THE  PRESCRIPTION
PRIOR  TO  THE  LAST DAY OF THE APPROVED DOSAGE PERIOD WITHOUT REGARD TO
ANY COVERAGE RESTRICTIONS ON EARLY REFILL OF RENEWALS. PROVIDED,  HOWEV-
ER,  THAT ANY REFILL DISPENSED PRIOR TO THE EXPIRATION OF THE PRESCRIBED
AND APPROVED COVERAGE PERIOD PURSUANT TO THIS PARAGRAPH, SHALL,  TO  THE
EXTENT  PRACTICABLE,  BE  LIMITED  IN  QUANTITY  SO AS NOT TO EXCEED THE
REMAINING DOSAGE INITIALLY APPROVED  FOR  COVERAGE.  PROVIDED,  FURTHER,
THAT  SUCH  LIMITED  REFILLING SHALL NOT LIMIT OR RESTRICT COVERAGE WITH
REGARD TO ANY PREVIOUSLY OR SUBSEQUENTLY APPROVED PRESCRIPTION  FOR  EYE
DROP  MEDICATION AND SHALL BE SUBJECT TO THE TERMS AND CONDITIONS OF THE
POLICY OTHERWISE APPLICABLE TO THIS COVERAGE.  PROVIDED, FURTHER, THAT A
PHARMACIST MAY CONTACT THE PRESCRIBING PHYSICIAN OR HEALTH CARE PROVIDER
TO VERIFY THE PRESCRIPTION.
  S 2. Subsection (k) of section 3221 of the insurance law is amended by
adding a new paragraph 16 to read as follows:
  (16) NOTWITHSTANDING TITLE  ELEVEN  OF  ARTICLE  FIVE  OF  THE  SOCIAL
SERVICES  LAW  OR  ANY  OTHER  LAW  TO  THE CONTRARY, EVERY POLICY WHICH

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

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