|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Dec 12, 2011||approval memo.15|
|Nov 30, 2011||delivered to governor|
|Jun 21, 2011||returned to assembly|
3rd reading cal.1489
substituted for s5799
|Jun 21, 2011||substituted by a7779|
ordered to third reading cal.1489
|Jun 16, 2011||referred to rules|
senate Bill S5799Signed By Governor
Archive: Last Bill Status Via A7779 - Signed by Governor
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed by Governor
S5799 - Details
- See Assembly Version of this Bill:
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
S5799 - Summary
Requires insurance coverage for prescription fertility drugs purchased at non-mail order pharmacies to be the same as for prescription fertility drugs purchased at mail order pharmacies.
S5799 - Sponsor Memo
BILL NUMBER:S5799 TITLE OF BILL: An act to amend the insurance law, in relation to the purchase of prescription drugs PURPOSE OR GENERAL IDEA OF BILL: The purpose of this bill is to ensure that fertility drugs may be purchased locally without additional financial burden to the insured person. SUMMARY OF SPECIFIC PROVISIONS: This bill would amend the insurance law with respect to HMOs, and individual, group and not-for-profit insurance policies by requiring all policies that provide coverage for fertility drugs and require or permit a mail order pharmacy benefit to cover prescription fertility drugs purchased at a non-mail order pharmacy without any additional cost sharing to the covered individual. JUSTIFICATION: In an effort to streamline the delivery of prescription drugs while maintaining the affordability of coverage, many health insurance policies require or incentivize the use of a mail order pharmacy.
S5799 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5799 2011-2012 Regular Sessions I N S E N A T E June 16, 2011 ___________ Introduced by Sen. SKELOS -- read twice and ordered printed, and when printed to be committed to the Committee on Rules 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. Subsection (i) of section 3216 of the insurance law is amended by adding a new paragraph 13-a 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 MAIL ORDER PHARMACY SHALL PROVIDE THE SAME COVERAGE FOR PRESCRIPTION FERTILITY DRUGS WHEN SUCH DRUGS ARE PURCHASED FROM A PHARMACY THAT IS NOT A MAIL ORDER PHARMACY. SUCH POLICY SHALL NOT IMPOSE ANY ADDITIONAL FEE, CO-PAYMENT, CO-INSURANCE, DEDUCTIBLE OR OTHER CONDITION ON ANY INSURED WHO DOES NOT ELECT TO PURCHASE PRESCRIPTION FERTILITY DRUGS THROUGH A MAIL ORDER PHARMACY. S 2. Paragraph 6 of subsection (k) of section 3221 of the insurance law is amended by adding a new subparagraph (D) 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 MAIL ORDER PHARMACY SHALL PROVIDE THE SAME COVERAGE FOR PRESCRIPTION FERTILITY DRUGS WHEN SUCH DRUGS ARE PURCHASED FROM A PHARMACY THAT IS NOT A MAIL ORDER PHARMACY. SUCH POLICY SHALL NOT IMPOSE ANY ADDITIONAL FEE, CO-PAYMENT, CO-INSURANCE, DEDUCTIBLE OR OTHER CONDITION ON ANY COVERED PERSON WHO DOES NOT ELECT TO PURCHASE PRESCRIPTION FERTILITY DRUGS THROUGH A MAIL ORDER PHARMACY. S 3. Subsection (s) of section 4303 of the insurance law, as amended by section 2 of part K of chapter 82 of the laws of 2002, is amended by adding a new paragraph 4 to read as follows: (4) EVERY POLICY ISSUED BY A MEDICAL EXPENSE INDEMNITY CORPORATION, A HOSPITAL SERVICE CORPORATION OR A HEALTH SERVICES CORPORATION THAT EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD10740-02-1
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