senate Bill S1298

2013-2014 Legislative Session

Limits cost-sharing responsibilities of participants in the elderly pharmaceutical insurance coverage program

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Archive: Last Bill Status - In Committee


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

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to aging
Jan 09, 2013 referred to aging

S1298 - Bill Details

Current Committee:
Senate Aging
Law Section:
Elder Law
Laws Affected:
Amd ยง247, Eld L
Versions Introduced in Previous Legislative Sessions:
2011-2012: S1221A
2009-2010: S1539

S1298 - Bill Texts

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Limits cost-sharing responsibilities of participants in the elderly pharmaceutical insurance coverage program for both comprehensive and catastrophic coverages to no more than five percent of the eligible participant's gross income.

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BILL NUMBER:S1298

TITLE OF BILL:
An act
to amend the elder law, in relation to limiting the cost-sharing
responsibilities of eligible participants in the elderly pharmaceutical
insurance coverage program

PURPOSE OF THE BILL:
Caps the out-of-pocket expenses (COPE) of an individual participant in
either the Fee Plan or the Deductible Plan of the Elderly
Pharmaceutical. Insurance Coverage Program (EPIC) at five percent
(5%) of annual gross income.

SUMMARY OF PROVISIONS:

Section 247 of the elder law is amended to add new subdivision 5 to
read:

5. Cost-sharing responsibilities limit. At no time during a coverage
period shall the cost-sharing responsibilities, which are comprised
of the sum of the annual registration fee and co-payments, exceed
five percent of the eligible program participant's gross income,
effective immediately.

JUSTIFICATION:
The cost of prescription drugs for senior citizens is a
well-documented issue that looms over the political landscape in New
York and throughout the country. As drug prices continue to rise,
there is an ever-increasing burden on senior incomes. Federal
Medicare HMO's continue to dump seniors.

In New York, the Elderly Pharmaceutical Insurance Coverage (EPIC) Plan
has picked up some of the burden. EPIC requires that participants pay
a variety of premiums, fees, co-pays and deductibles. This currently
ranges from 4 to 7 percent of their incomes. COPE ensures that no one
will pay more than 5 percent of their income. This will save seniors
as much as $170 million. COPE will pick up the cost, pointing to a
renewed urgency for Congress to resolve the issue in order to offset
the States commitment.

FISCAL IMPLICATIONS: To be determined.

LEGISLATIVE HISTORY: This bill has previously been
introduced.

EFFECTIVE DATE: This act shall take effect on the
120th day next
succeeding the date on which it shall have become a law.

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

                                  1298

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 9, 2013
                               ___________

Introduced  by Sen. STAVISKY -- read twice and ordered printed, and when
  printed to be committed to the Committee on Aging

AN ACT to amend the elder law, in relation to limiting the  cost-sharing
  responsibilities  of  eligible  participants in the elderly pharmaceu-
  tical insurance coverage program

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

  Section  1.  Section  247  of the elder law is amended by adding a new
subdivision 5 to read as follows:
  5. COST-SHARING RESPONSIBILITIES LIMIT. AT NO TIME DURING  A  COVERAGE
PERIOD  SHALL  THE COST-SHARING RESPONSIBILITIES, WHICH ARE COMPRISED OF
THE SUM OF THE ANNUAL REGISTRATION  FEE  AND  CO-PAYMENTS,  EXCEED  FIVE
PERCENT  OF  THE  ELIGIBLE PROGRAM PARTICIPANT'S GROSS INCOME, EFFECTIVE
IMMEDIATELY.
  S 2.  This act shall take effect on the one hundred twentieth day next
succeeding the date on which it shall have become a law.





 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01913-02-3

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