senate Bill S166A

2011-2012 Legislative Session

Provides that health insurance coverage may not deny reimbursements because the registered pharmacy providing pharmaceutical products has not been approved

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee


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

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Actions

view actions (4)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 18, 2012 print number 166a
amend and recommit to insurance
Jan 04, 2012 referred to insurance
Jan 05, 2011 referred to insurance

Co-Sponsors

S166 - Details

Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221, 4303, 4402, 4413 & 4301, Ins L
Versions Introduced in 2009-2010 Legislative Session:
S1449

S166 - Summary

Provides that health insurers may not deny reimbursements to insureds because the registered pharmacy providing pharmaceutical products has not been approved by the insurer or other entity.

S166 - Sponsor Memo

S166 - Bill Text download pdf

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

                                   166

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 5, 2011
                               ___________

Introduced  by  Sens.  MAZIARZ, GOLDEN, LITTLE -- read twice and ordered
  printed, and when printed to be committed to the Committee  on  Insur-
  ance

AN  ACT  to  amend  the  insurance  law, in relation to health insurance
  coverage and to eligibility for employee benefits provided by employee
  welfare funds

  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 28 to read as follows:
  (28) NO SUCH POLICY SHALL LIMIT BENEFITS  OR  DENY  REIMBURSEMENT  FOR
BENEFITS  TO  ANY  INSURED ON THE BASIS THAT THE PHARMACY PROVIDING SUCH
BENEFITS HAS NOT BEEN SPECIFICALLY SELECTED OR APPROVED. IF THE INSURED,
HIS DEPENDENTS OR BOTH RECEIVE SERVICES FROM A  PHARMACY  OF  THEIR  OWN
CHOOSING,  SUCH  INSURED  SHALL  PAY  THE  COST  OF  SUCH PHARMACEUTICAL
PRODUCTS TO THE EXTENT THAT SUCH  COST  EXCEEDS  THE  BENEFITS  PROVIDED
UNDER  THE POLICY WITHOUT FORFEITURE OF THE BENEFITS PROVIDED UNDER SUCH
POLICY. NO SUCH POLICY SHALL PROHIBIT A DULY  REGISTERED  PHARMACY  FROM
PROVIDING  SERVICES,  PROVIDED  SUCH  PHARMACY  AGREES  TO  PROVIDE SUCH
SERVICES IN ACCORDANCE WITH THE MINIMUM  STANDARDS  AND  CONDITIONS  FOR
SIMILAR PROVIDERS THAT HAVE BEEN ESTABLISHED BY SUCH POLICY.
  S 2. Subsection (e) of section 3221 of the insurance law is amended by
adding a new paragraph 12 to read as follows:
  (12)  NO  SUCH  GROUP  OR  BLANKET POLICY SHALL LIMIT BENEFITS OR DENY
REIMBURSEMENT FOR BENEFITS TO ANY INSURED ON THE BASIS THAT THE PHARMACY
PROVIDING SUCH BENEFITS HAS NOT BEEN SPECIFICALLY SELECTED  OR  APPROVED
BY  THE  GROUP OR BLANKET POLICY. IF THE INSURED, HIS DEPENDENTS OR BOTH
RECEIVE SERVICES FROM A PHARMACY OF THEIR  OWN  CHOOSING,  SUCH  INSURED
SHALL  PAY  THE  COST OF SUCH PHARMACEUTICAL PRODUCTS TO THE EXTENT THAT
SUCH COST EXCEEDS THE BENEFITS PROVIDED UNDER THE GROUP OR BLANKET POLI-

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

Co-Sponsors

S166A (ACTIVE) - Details

Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221, 4303, 4402, 4413 & 4301, Ins L
Versions Introduced in 2009-2010 Legislative Session:
S1449

S166A (ACTIVE) - Summary

Provides that health insurers may not deny reimbursements to insureds because the registered pharmacy providing pharmaceutical products has not been approved by the insurer or other entity.

S166A (ACTIVE) - Sponsor Memo

S166A (ACTIVE) - Bill Text download pdf

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

                                 166--A

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 5, 2011
                               ___________

Introduced  by  Sens.  MAZIARZ, GOLDEN, GRISANTI, LITTLE, PARKER -- read
  twice and ordered printed, and when printed to  be  committed  to  the
  Committee on Insurance -- recommitted to the Committee on Insurance in
  accordance  with  Senate  Rule 6, sec. 8 -- committee discharged, bill
  amended, ordered reprinted as amended and recommitted to said  commit-
  tee

AN  ACT  to  amend  the  insurance  law, in relation to health insurance
  coverage and to eligibility for employee benefits provided by employee
  welfare funds

  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 29 to read as follows:
  (29) NO SUCH POLICY SHALL LIMIT BENEFITS  OR  DENY  REIMBURSEMENT  FOR
BENEFITS  TO  ANY  INSURED ON THE BASIS THAT THE PHARMACY PROVIDING SUCH
BENEFITS HAS NOT BEEN SPECIFICALLY SELECTED OR APPROVED. IF THE INSURED,
HIS DEPENDENTS OR BOTH RECEIVE SERVICES FROM A  PHARMACY  OF  THEIR  OWN
CHOOSING,  SUCH  INSURED  SHALL  PAY  THE  COST  OF  SUCH PHARMACEUTICAL
PRODUCTS TO THE EXTENT THAT SUCH  COST  EXCEEDS  THE  BENEFITS  PROVIDED
UNDER  THE POLICY WITHOUT FORFEITURE OF THE BENEFITS PROVIDED UNDER SUCH
POLICY. NO SUCH POLICY SHALL PROHIBIT A DULY  REGISTERED  PHARMACY  FROM
PROVIDING  SERVICES,  PROVIDED  SUCH  PHARMACY  AGREES  TO  PROVIDE SUCH
SERVICES IN ACCORDANCE WITH THE MINIMUM  STANDARDS  AND  CONDITIONS  FOR
SIMILAR PROVIDERS THAT HAVE BEEN ESTABLISHED BY SUCH POLICY.
  S 2. Subsection (k) of section 3221 of the insurance law is amended by
adding a new paragraph 13 to read as follows:
  (13)  NO  SUCH  GROUP  OR  BLANKET POLICY SHALL LIMIT BENEFITS OR DENY
REIMBURSEMENT FOR BENEFITS TO ANY INSURED ON THE BASIS THAT THE PHARMACY
PROVIDING SUCH BENEFITS HAS NOT BEEN SPECIFICALLY SELECTED  OR  APPROVED
BY  THE  GROUP OR BLANKET POLICY. IF THE INSURED, HIS DEPENDENTS OR BOTH

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

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