senate Bill S4893

Vetoed By Governor
2015-2016 Legislative Session

Relates to coverage of certain prescription drugs by Medicaid managed care providers; repealer

download bill text pdf

Sponsored By

Archive: Last Bill Status Via A7208 - Vetoed by Governor


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

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Actions

view actions (11)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Aug 14, 2015 tabled
Aug 13, 2015 vetoed memo.191
Aug 03, 2015 delivered to governor
Jun 18, 2015 returned to assembly
passed senate
substituted for s4893
Jun 18, 2015 substituted by a7208
ordered to third reading cal.1823
committee discharged and committed to rules
Jun 02, 2015 reported and committed to finance
Apr 23, 2015 referred to health

Co-Sponsors

S4893 (ACTIVE) - Details

See Assembly Version of this Bill:
A7208
Law Section:
Social Services Law
Laws Affected:
Amd ยง364-j, rpld sub 25-a, Soc Serv L

S4893 (ACTIVE) - Summary

Relates to coverage of certain prescription drugs including antipsychotic, anti-depressant, anti-retroviral, anti-rejection, seizure and immunologic class drugs by Medicaid managed care providers; makes prescriber's determination final.

S4893 (ACTIVE) - Sponsor Memo

S4893 (ACTIVE) - Bill Text download pdf

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

                                  4893

                       2015-2016 Regular Sessions

                            I N  S E N A T E

                             April 23, 2015
                               ___________

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

AN ACT to amend the social  services  law,  in  relation  to  prescriber
  determination  prevailing  in  medicaid  managed  care  and  to repeal
  certain provisions of such law relating thereto

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

  Section 1. Subdivision 25 of section 364-j of the social services law,
as  added  by section 55 of part D of chapter 56 of the laws of 2012, is
amended to read as follows:
  25. [Effective January first, two thousand thirteen,  notwithstanding]
NOTWITHSTANDING  any  provision  of  law  to  the contrary, managed care
providers shall cover medically  necessary  prescription  drugs  in  the
ANTI-DEPRESSANT,  ANTI-RETROVIRAL,  ANTI-REJECTION,  SEIZURE,  EPILEPSY,
ENDOCRINE, HEMATOLOGIC, IMMUNOLOGIC AND atypical antipsychotic therapeu-
tic [class] CLASSES, including non-formulary drugs[, upon  demonstration
by]. IF the prescriber, after consulting with the managed care provider,
DETERMINES  that such drugs, in the prescriber's reasonable professional
judgment, are medically necessary and warranted, THE PRESCRIBER'S DETER-
MINATION SHALL BE FINAL.
  S 2. Subdivision 25-a of section 364-j of the social services  law  is
REPEALED.
  S  3.  This  act  shall take effect on the sixtieth day after it shall
have become a law; provided that effective immediately, the commissioner
of health may make regulations  and  take  other  actions  necessary  to
implement  this act on that date, and provided, further, that the amend-
ments to section 364-j of the social services law made by this act shall
not affect the repeal of such section and shall be deemed repealed ther-
ewith.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09267-02-5

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