|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Jan 24, 2014||referred to health|
senate Bill S6446
Archive: Last Bill Status - In Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S6446 - Details
S6446 - Summary
Relates to medicaid payment for co-payments due under Medicare Part D; authorizes the commissioner of health to create a system to incorporate co-payments billed to a recipient under Medicare Part D towards the recipient's total annual co-payments under medical assistance.
S6446 - Sponsor Memo
BILL NUMBER:S6446 TITLE OF BILL: An act to amend the public health law and the social services law, in relation to medicaid payment for co-payments due under Medicare Part D PURPOSE OR GENERAL IDEA OF BILL: To aid dual-eligible Medicare Part D recipients with prescription drug co-payments. SUMMARY OF SPECIFIC PROVISIONS: The bill provides for Medicaid to pay the Medicare Part D co-payments for dual-eligible Medicare-Medicaid recipients, once the recipient has reached the Medicaid $200-a-year co-payment cap (counting Part D co-pay- ments). Coverage for these co-payments would be exempt from Medicaid prior authorization. it directs the Commissioner of Health to create a system that allows pharmacists to register a dual-eligible individual's Medicare Part D co-payments in the Medicaid system, and establishes that Medicaid shall provide for payment of the Part D co-payment after $200 in co-payments have been made. JUSTIFICATION: Medicaid's co-payment system has always allowed an individual to receive
S6446 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 6446 I N S E N A T E January 24, 2014 ___________ Introduced by Sen. RIVERA -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law and the social services law, in relation to medicaid payment for co-payments due under Medicare Part D THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 7 of section 273 of the public health law, as amended by section 7 of part C of chapter 58 of the laws of 2008, is amended to read as follows: 7. No prior authorization under the preferred drug program shall be required when a prescriber prescribes a drug on the preferred drug list, OR WHEN MEDICAL ASSISTANCE PAYMENT IS MADE, UNDER PARAGRAPH (G) OF SUBDIVISION TWO OF SECTION THREE HUNDRED SIXTY-FIVE-A OF THE SOCIAL SERVICES LAW SOLELY FOR THE CO-PAYMENT FOR PRESCRIPTIONS PROVIDED UNDER PART D OF TITLE XVIII OF THE FEDERAL SOCIAL SECURITY ACT; provided, however, that the commissioner may identify [such] a drug for which prior authorization is required pursuant to the provisions of the clin- ical drug review program established under section two hundred seventy- four of this article. S 2. Subparagraph (ii) of paragraph (f) of subdivision 6 of section 367-a of the social services law, as amended by section 42 of part C of chapter 58 of the laws of 2005, is amended to read as follows: (ii) In the year commencing April first, two thousand five and for each year thereafter, no recipient shall be required to pay more than a total of two hundred dollars in co-payments, INCLUDING THOSE required by this subdivision[, nor] AND, FOR RECIPIENTS ELIGIBLE FOR COVERAGE UNDER PART D OF TITLE XVIII OF THE FEDERAL SOCIAL SECURITY ACT (REFERRED TO IN THIS SECTION AS "MEDICARE PART D"), THOSE CO-PAYMENTS REQUIRED BY MEDI- CARE PART D. NOR shall reductions in payments as a result of such co-payments exceed two hundred dollars for any recipient. THE COMMIS- SIONER OF HEALTH SHALL CREATE A SYSTEM TO INCORPORATE CO-PAYMENTS BILLED TO A RECIPIENT UNDER MEDICARE PART D TOWARDS THE RECIPIENT'S TOTAL ANNU- AL CO-PAYMENTS UNDER MEDICAL ASSISTANCE. AS PART OF THIS SYSTEM, PHAR- MACISTS SHALL RECORD ALL CO-PAYMENTS DUE UNDER MEDICARE PART D FROM SUCH EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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