|
Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
|---|---|
| Dec 11, 2015 |
signed chap.540 |
| Nov 30, 2015 |
delivered to governor |
| Jun 10, 2015 |
returned to senate passed assembly ordered to third reading rules cal.50 substituted for a676c referred to ways and means delivered to assembly passed senate |
| Jun 08, 2015 |
advanced to third reading |
| Jun 03, 2015 |
2nd report cal. |
| Jun 02, 2015 |
1st report cal.1273 |
| May 19, 2015 |
print number 3346b |
| May 19, 2015 |
amend and recommit to finance |
| Apr 22, 2015 |
reported and committed to finance |
| Mar 20, 2015 |
print number 3346a |
| Mar 20, 2015 |
amend and recommit to health |
| Feb 05, 2015 |
referred to health |
Senate Bill S3346B
Signed By Governor2015-2016 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - Signed by Governor
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
Bill Amendments
co-Sponsors
(D) 15th Senate District
(D) Senate District
(R) Senate District
(R, C, IP) Senate District
2015-S3346 - Details
2015-S3346 - Sponsor Memo
BILL NUMBER:S3346
TITLE OF BILL:
An act to amend the public health law, in relation to pharmacy benefit
managers
PURPOSE:
To requires contracts between pharmacy benefit managers and pharmacies
to include a reasonable appeals process
SUMMARY OF PROVISIONS:
Section one adds a new § 280-a to the Public Health Law to require
contracts between a pharmacy benefit manager (PBM) and a pharmacy, or
a pharmacy's contract agent, to include a reasonable appeals process.
Under the process, the right to appeal is limited to 30 days following
the initial claim submission. The PBM must provide a phone number and
email for processing the appeal, and must respond to an appeal within
7 business days. If the appeal is deemed valid, the price is adjusted
for the appealing pharmacy effective the date of the original claim
and, if warranted, the PBM shall update the maximum allowable cost for
all similarly situated pharmacies. If the appeal is denied, the PBM
shall identify an equivalent drug that is available for purchase at an
equal price.
2015-S3346 - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
3346
2015-2016 Regular Sessions
I N S E N A T E
February 5, 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 public health law, in relation to pharmacy benefit
managers
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The public health law is amended by adding a new section
280-a to read as follows:
S 280-A. PHARMACY BENEFIT MANAGERS. 1. DEFINITIONS. AS USED IN THIS
SECTION, THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANINGS:
(A) "PHARMACY BENEFIT MANAGER" MEANS AN ENTITY THAT CONTRACTS WITH
PHARMACIES OR PHARMACY CONTRACTING AGENTS ON BEHALF OF A HEALTH PLAN,
STATE AGENCY, INSURER, MANAGED CARE ORGANIZATION, OR OTHER THIRD PARTY
PAYOR TO PROVIDE PHARMACY HEALTH BENEFIT SERVICES OR ADMINISTRATION.
(B) "MAXIMUM ALLOWABLE COST PRICE" MEANS A MAXIMUM REIMBURSEMENT
AMOUNT SET BY THE PHARMACY BENEFIT MANAGER FOR THERAPEUTICALLY EQUIV-
ALENT MULTIPLE SOURCE GENERIC DRUGS.
2. A PHARMACY BENEFIT MANAGER SHALL, WITH RESPECT TO CONTRACTS BETWEEN
A PHARMACY BENEFIT MANAGER AND A PHARMACY OR, ALTERNATIVELY, A PHARMACY
BENEFIT MANAGER AND A PHARMACY'S CONTRACTING AGENT, SUCH AS A PHARMACY
SERVICES ADMINISTRATIVE ORGANIZATION, INCLUDE A REASONABLE PROCESS TO
APPEAL, INVESTIGATE AND RESOLVE DISPUTES REGARDING MULTI-SOURCE GENERIC
DRUG PRICING. THE APPEALS PROCESS SHALL INCLUDE THE FOLLOWING
PROVISIONS:
(A) THE RIGHT TO APPEAL BY THE PHARMACY AND/OR THE PHARMACY'S
CONTRACTING AGENT SHALL BE LIMITED TO THIRTY DAYS FOLLOWING THE INITIAL
CLAIM SUBMITTED FOR PAYMENT;
(B) A TELEPHONE NUMBER THROUGH WHICH A NETWORK PHARMACY MAY CONTACT
THE PHARMACY BENEFIT MANAGER FOR THE PURPOSE OF FILING AN APPEAL AND AN
ELECTRONIC MAIL ADDRESS OF THE INDIVIDUAL WHO IS RESPONSIBLE FOR PROC-
ESSING APPEALS;
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD04032-02-5
co-Sponsors
(D) 15th Senate District
(D) Senate District
(D, WF) 46th Senate District
(R) Senate District
2015-S3346A - Details
2015-S3346A - Sponsor Memo
BILL NUMBER:S3346A
TITLE OF BILL:
An act to amend the public health law, in relation to pharmacy benefit
managers
PURPOSE:
To requires contracts between pharmacy benefit managers and pharmacies
to include a reasonable appeals process.
SUMMARY OF PROVISIONS:
Section one adds a new § 280-a to the Public Health Law to require
contracts between a pharmacy benefit manager (PBM) and a pharmacy, or
a pharmacy's contract agent, to include a reasonable appeals process.
Under the process, the right to appeal is limited to 30 days following
the initial claim submission. The PBM must provide a phone number and
email for processing the appeal, and must respond to an appeal within
7 business days. If the appeal is deemed valid, the price is adjusted
for the appealing pharmacy effective the date of the original claim
and, if warranted, the PBM shall update the maximum allowable cost for
all similarly situated pharmacies. If the appeal is denied, the PBM
shall identify an equivalent drug that is available for purchase at an
equal price.
2015-S3346A - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
3346--A
2015-2016 Regular Sessions
I N S E N A T E
February 5, 2015
___________
Introduced by Sens. HANNON, ADDABBO, AVELLA, CROCI, DeFRANCISCO, ESPAIL-
LAT, GOLDEN, GRIFFO, KRUEGER, LATIMER, MARCELLINO, RITCHIE -- read
twice and ordered printed, and when printed to be committed to the
Committee on Health -- committee discharged, bill amended, ordered
reprinted as amended and recommitted to said committee
AN ACT to amend the public health law, in relation to pharmacy benefit
managers
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The public health law is amended by adding a new section
280-a to read as follows:
S 280-A. PHARMACY BENEFIT MANAGERS. 1. DEFINITIONS. AS USED IN THIS
SECTION, THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANINGS:
(A) "PHARMACY BENEFIT MANAGER" MEANS AN ENTITY THAT CONTRACTS WITH
PHARMACIES OR PHARMACY CONTRACTING AGENTS ON BEHALF OF A HEALTH PLAN,
STATE AGENCY, INSURER, MANAGED CARE ORGANIZATION, OR OTHER THIRD PARTY
PAYOR TO PROVIDE PHARMACY HEALTH BENEFIT SERVICES OR ADMINISTRATION.
(B) "MAXIMUM ALLOWABLE COST PRICE" MEANS A MAXIMUM REIMBURSEMENT
AMOUNT SET BY THE PHARMACY BENEFIT MANAGER FOR THERAPEUTICALLY EQUIV-
ALENT MULTIPLE SOURCE GENERIC DRUGS.
2. A PHARMACY BENEFIT MANAGER SHALL, WITH RESPECT TO CONTRACTS BETWEEN
A PHARMACY BENEFIT MANAGER AND A PHARMACY OR, ALTERNATIVELY, A PHARMACY
BENEFIT MANAGER AND A PHARMACY'S CONTRACTING AGENT, SUCH AS A PHARMACY
SERVICES ADMINISTRATIVE ORGANIZATION, INCLUDE A REASONABLE PROCESS TO
APPEAL, INVESTIGATE AND RESOLVE DISPUTES REGARDING MULTI-SOURCE GENERIC
DRUG PRICING. THE APPEALS PROCESS SHALL INCLUDE THE FOLLOWING
PROVISIONS:
(A) THE RIGHT TO APPEAL BY THE PHARMACY AND/OR THE PHARMACY'S
CONTRACTING AGENT SHALL BE LIMITED TO THIRTY DAYS FOLLOWING THE INITIAL
CLAIM SUBMITTED FOR PAYMENT;
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD04032-04-5
co-Sponsors
(D) 15th Senate District
(D) Senate District
(D, WF) 46th Senate District
(R) Senate District
2015-S3346B (ACTIVE) - Details
2015-S3346B (ACTIVE) - Sponsor Memo
BILL NUMBER:S3346B
TITLE OF BILL:
An act to amend the public health law, in relation to pharmacy benefit
managers
PURPOSE:
To requires contracts between pharmacy benefit managers and pharmacies
to include a reasonable appeals process.
SUMMARY OF PROVISIONS:
Section one adds a new § 280-a to the Public Health Law to require
contracts between a pharmacy benefit manager (PBM) and a pharmacy, or
a pharmacy's contract agent, to include a reasonable appeals process.
Under the process, the right to appeal is limited to 30 days following
the initial claim submission. The PBM must provide a phone number and
email for processing the appeal, and must respond to an appeal within
7 business days. If the appeal is deemed valid, the price is adjusted
for the appealing pharmacy effective the date of the original claim
and, if warranted, the PBM shall update the maximum allowable cost for
all similarly situated pharmacies. If the appeal is denied, the PBM
shall identify a therapeutically equivalent drug that is available for
purchase at an equal price.
2015-S3346B (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
3346--B
2015-2016 Regular Sessions
I N S E N A T E
February 5, 2015
___________
Introduced by Sens. HANNON, ADDABBO, AVELLA, BRESLIN, CROCI, DeFRANCIS-
CO, ESPAILLAT, GOLDEN, GRIFFO, KRUEGER, LATIMER, MARCELLINO, MARTINS,
O'MARA, PARKER, RANZENHOFER, RITCHIE, STAVISKY, VALESKY -- read twice
and ordered printed, and when printed to be committed to the Committee
on Health -- committee discharged, bill amended, ordered reprinted as
amended and recommitted to said committee -- reported favorably from
said committee and committed to the Committee on Finance -- committee
discharged, bill amended, ordered reprinted as amended and recommitted
to said committee
AN ACT to amend the public health law, in relation to pharmacy benefit
managers
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The public health law is amended by adding a new section
280-a to read as follows:
S 280-A. PHARMACY BENEFIT MANAGERS. 1. DEFINITIONS. AS USED IN THIS
SECTION, THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANINGS:
(A) "PHARMACY BENEFIT MANAGER" MEANS AN ENTITY THAT CONTRACTS WITH
PHARMACIES OR PHARMACY CONTRACTING AGENTS ON BEHALF OF A HEALTH PLAN,
STATE AGENCY, INSURER, MANAGED CARE ORGANIZATION, OR OTHER THIRD PARTY
PAYOR TO PROVIDE PHARMACY HEALTH BENEFIT SERVICES OR ADMINISTRATION.
(B) "MAXIMUM ALLOWABLE COST PRICE" MEANS A MAXIMUM REIMBURSEMENT
AMOUNT SET BY THE PHARMACY BENEFIT MANAGER FOR THERAPEUTICALLY EQUIV-
ALENT MULTIPLE SOURCE GENERIC DRUGS.
2. A PHARMACY BENEFIT MANAGER SHALL, WITH RESPECT TO CONTRACTS BETWEEN
A PHARMACY BENEFIT MANAGER AND A PHARMACY OR, ALTERNATIVELY, A PHARMACY
BENEFIT MANAGER AND A PHARMACY'S CONTRACTING AGENT, SUCH AS A PHARMACY
SERVICES ADMINISTRATIVE ORGANIZATION, INCLUDE A REASONABLE PROCESS TO
APPEAL, INVESTIGATE AND RESOLVE DISPUTES REGARDING MULTI-SOURCE GENERIC
DRUG PRICING. THE APPEALS PROCESS SHALL INCLUDE THE FOLLOWING
PROVISIONS:
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD04032-08-5
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