senate Bill S6054A

Signed By Governor
2011-2012 Legislative Session

Relates to the purchase of prescription drugs

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Archive: Last Bill Status Via A8904 - 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.11
Feb 07, 2012 delivered to governor
Feb 06, 2012 returned to assembly
passed senate
3rd reading cal.11
substituted for s6054a
Feb 06, 2012 substituted by a8904
Jan 09, 2012 ordered to third reading cal.11
reported and committed to rules
Jan 04, 2012 print number 6054a
amend and recommit to insurance
referred to insurance
Jan 04, 2012 referred to insurance

Votes

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Bill Amendments

Original
A (Active)
Original
A (Active)

S6054 - Details

See Assembly Version of this Bill:
A8904
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

S6054 - Summary

Relates to the purchase of prescription drugs; relates to applicable terms and conditions of participating mail order or other non-retail pharmacy.

S6054 - Bill Text download pdf

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

                                  6054

                            I N  S E N A T E

                               (PREFILED)

                             January 4, 2012
                               ___________

Introduced  by  Sen. MAZIARZ -- 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 28 of subsection  (i)  of  section  3216  of  the
insurance  law,  as added by a chapter of the laws of 2011, amending the
insurance law  relating  to  the  purchase  of  prescription  drugs,  as
proposed  in  legislative  bills  numbers  S.  3510-B  and A. 5502-B, is
amended to read as follows:
  (28) Any policy [which] THAT provides coverage for prescription  drugs
shall permit each [participant] INSURED to fill any [mail order] covered
prescription  THAT MAY BE OBTAINED AT A NETWORK PARTICIPATING MAIL ORDER
OR OTHER NON-RETAIL PHARMACY, at [his or her] THE INSURED'S  option,  at
[any  mail  order  pharmacy  or]  A network participating non-mail order
retail pharmacy [if the  network  participating  non-mail  order  retail
pharmacy offers to accept a price that is comparable to that of the mail
order  pharmacy]  PROVIDED THAT THE NETWORK PARTICIPATING NON-MAIL ORDER
RETAIL PHARMACY AGREES IN ADVANCE, THROUGH A CONTRACTUAL NETWORK  AGREE-
MENT,  TO  THE SAME REIMBURSEMENT AMOUNT, AS WELL AS THE SAME APPLICABLE
TERMS AND CONDITIONS, THAT THE INSURER HAS ESTABLISHED FOR  THE  NETWORK
PARTICIPATING  MAIL  ORDER  OR  OTHER NON-RETAIL PHARMACY.   [Any policy
which provides coverage for prescription drugs]  IN  SUCH  A  CASE,  THE
POLICY  shall  not  impose  a  co-payment  fee or other condition on any
insured who elects to purchase PRESCRIPTION drugs from a network partic-
ipating non-mail order retail pharmacy which  is  not  also  imposed  on
insureds  electing to purchase drugs from a [designated] NETWORK PARTIC-
IPATING mail order OR OTHER  NON-RETAIL  pharmacy[;  provided,  however,
that  the  provisions of this section shall not supersede the terms of a
collective bargaining agreement or apply to a policy that is the  result
of  a  collective  bargaining agreement between an employer and a recog-
nized or certified employee organization].

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

S6054A (ACTIVE) - Details

See Assembly Version of this Bill:
A8904
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L

S6054A (ACTIVE) - Summary

Relates to the purchase of prescription drugs; relates to applicable terms and conditions of participating mail order or other non-retail pharmacy.

S6054A (ACTIVE) - Sponsor Memo

S6054A (ACTIVE) - Bill Text download pdf

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

                                 6054--A

                            I N  S E N A T E

                               (PREFILED)

                             January 4, 2012
                               ___________

Introduced  by  Sen. MAZIARZ -- read twice and ordered printed, and when
  printed to be committed 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 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  28  of  subsection  (i) of section 3216 of the
insurance law, as added by chapter 597 of the laws of 2011,  is  amended
to read as follows:
  (28)  Any policy [which] THAT provides coverage for prescription drugs
shall permit each [participant] INSURED to fill any [mail order] covered
prescription THAT MAY BE OBTAINED AT A NETWORK PARTICIPATING MAIL  ORDER
OR  OTHER  NON-RETAIL PHARMACY, at [his or her] THE INSURED'S option, at
[any mail order pharmacy or]  A  network  participating  non-mail  order
retail  pharmacy  [if  the  network  participating non-mail order retail
pharmacy offers to accept a price that is comparable to that of the mail
order pharmacy] PROVIDED THAT THE NETWORK PARTICIPATING  NON-MAIL  ORDER
RETAIL  PHARMACY AGREES IN ADVANCE, THROUGH A CONTRACTUAL NETWORK AGREE-
MENT, TO THE SAME REIMBURSEMENT AMOUNT, AS WELL AS THE  SAME  APPLICABLE
TERMS  AND  CONDITIONS, THAT THE INSURER HAS ESTABLISHED FOR THE NETWORK
PARTICIPATING MAIL ORDER OR OTHER  NON-RETAIL  PHARMACY.    [Any  policy
which  provides  coverage  for  prescription  drugs] IN SUCH A CASE, THE
POLICY shall not impose a co-payment  fee  or  other  condition  on  any
insured who elects to purchase PRESCRIPTION drugs from a network partic-
ipating  non-mail  order  retail  pharmacy  which is not also imposed on
insureds electing to purchase drugs from a [designated] NETWORK  PARTIC-
IPATING  mail  order  OR  OTHER NON-RETAIL pharmacy[; provided, however,
that the provisions of this section shall not supersede the terms  of  a
collective  bargaining agreement or apply to a policy that is the result
of a collective bargaining agreement between an employer  and  a  recog-
nized or certified employee organization].

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

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