assembly Bill A8906

Signed By Governor
2011-2012 Legislative Session

Relates to coverage for oral chemotherapy

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Archive: Last Bill Status - Signed by Governor


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

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Feb 17, 2012 signed chap.12
Feb 07, 2012 delivered to governor
Feb 06, 2012 returned to assembly
passed senate
3rd reading cal.12
substituted for s6055
Jan 18, 2012 referred to rules
delivered to senate
passed assembly
Jan 12, 2012 advanced to third reading cal.303
Jan 10, 2012 reported
Jan 04, 2012 referred to insurance

Votes

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Co-Sponsors

A8906 - Details

See Senate Version of this Bill:
S6055
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3216, 3221 & 4303, Ins L

A8906 - Summary

Relates to coverage for oral chemotherapy.

A8906 - Bill Text download pdf

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

                                  8906

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 4, 2012
                               ___________

Introduced by M. of A. V. LOPEZ -- read once and referred to the Commit-
  tee on Insurance

AN  ACT  to  amend  the  insurance  law, in relation to coverage of oral
  chemotherapy treatment

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

  Section  1.  Paragraph  12-a  of subsection (i) of section 3216 of the
insurance law, as added by chapter 559 of the laws of 2011,  is  amended
to read as follows:
  (12-a) (A) Every policy delivered or issued for delivery in this state
that  provides  medical,  major  medical,  or similar comprehensive-type
coverage and provides coverage for prescription drugs and also [provide]
PROVIDES coverage for cancer chemotherapy treatment shall provide cover-
age for [a]  prescribed,  orally  administered  anticancer  [medication]
MEDICATIONS  used  to  kill  or  slow the growth of cancerous cells [and
shall apply the lower cost sharing of either (i)  anticancer  medication
under  the  prescription  drug  benefit  or  (ii)]. SUCH COVERAGE MAY BE
SUBJECT TO  CO-PAYS,  COINSURANCE  OR  DEDUCTIBLES,  PROVIDED  THAT  THE
CO-PAYS,  COINSURANCE  OR  DEDUCTIBLES  ARE  AT LEAST AS FAVORABLE TO AN
INSURED AS THE CO-PAYS, COINSURANCE OR DEDUCTIBLES THAT APPLY TO  COVER-
AGE  FOR  intravenous  or  injected  anticancer  medications.  [For  the
purposes of this section "cost sharing" shall include  co-pays,  coinsu-
rance, and deductibles as deemed appropriate by the superintendent.]
  (B) An insurer providing coverage under this paragraph and any partic-
ipating  entity  through  which the insurer offers health services shall
not:
  (i) vary the terms of the policy for the purpose or with the effect of
avoiding compliance with this paragraph;
  (ii) provide incentives (monetary or otherwise) to encourage a covered
person to accept less than the minimum protections available under  this
paragraph;

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD13718-01-1

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