Assembly Bill A4306B

2017-2018 Legislative Session

Provides for the insurance coverage of the synchronization of multiple prescriptions

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance Committee

  • 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

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Actions

Bill Amendments

co-Sponsors

multi-Sponsors

2017-A4306 - Details

See Senate Version of this Bill:
S5196
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Add §§3224-d & 4303-a, Ins L
Versions Introduced in Other Legislative Sessions:
2013-2014: A8975, S6763
2015-2016: A4036, S2809
2019-2020: A3009, S416, S4078

2017-A4306 - Summary

Provides for the insurance coverage of the synchronization of multiple prescriptions.

2017-A4306 - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   4306
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 2, 2017
                                ___________
 
 Introduced  by  M.  of A. QUART -- Multi-Sponsored by -- M. of A. AUBRY,
   BARCLAY, BRAUNSTEIN, BRINDISI, COOK, CRESPO, CYMBROWITZ, DILAN,  FAHY,
   HEVESI,  McDONALD, MOYA, PRETLOW, RIVERA, RYAN, SEAWRIGHT, SIMANOWITZ,
   SKOUFIS, STECK, WEPRIN -- read once and referred to the  Committee  on
   Insurance

 AN  ACT  to  amend  the insurance law, in relation to synchronization of
   multiple prescriptions and dispensing fee standardization
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. The insurance law is amended by adding a new section 3224-d
 to read as follows:
   §  3224-D.  PRESCRIPTION SYNCHRONIZATION AND DISPENSING FEE STANDARDI-
 ZATION. (A) EVERY INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY  PROVIDING
 PRESCRIPTION  DRUG  COVERAGE  SHALL  PERMIT  AND APPLY A DAILY PRO-RATED
 COST-SHARING RATE TO PRESCRIPTIONS THAT ARE DISPENSED BY A NETWORK PHAR-
 MACY FOR LESS THAN A THIRTY DAY SUPPLY, WHEN  IT  IS  AGREED  AMONG  THE
 COVERED  INDIVIDUAL,  A  HEALTH CARE PRACTITIONER, AND A PHARMACIST THAT
 SYNCHRONIZATION OF MULTIPLE PRESCRIPTIONS FOR THE TREATMENT OF A CHRONIC
 ILLNESS IS IN THE BEST  INTEREST  OF  THE  COVERED  INDIVIDUAL  FOR  THE
 MANAGEMENT OR TREATMENT OF THAT CHRONIC ILLNESS.
   (B)   NO   INDIVIDUAL  OR  GROUP  HEALTH  INSURANCE  POLICY  PROVIDING
 PRESCRIPTION DRUG COVERAGE SHALL DENY COVERAGE FOR THE DISPENSING OF ANY
 DRUG PRESCRIBED FOR THE TREATMENT OF A CHRONIC ILLNESS THAT IS  MADE  IN
 ACCORDANCE  WITH  A  PLAN  ESTABLISHED  AMONG  THE COVERED INDIVIDUAL, A
 HEALTH CARE PRACTITIONER AND A PHARMACIST TO SYNCHRONIZE  THE  REFILLING
 OF  MULTIPLE PRESCRIPTIONS FOR THE COVERED INDIVIDUAL.  EVERY INDIVIDUAL
 OR GROUP HEALTH INSURANCE POLICY MUST ALLOW A PHARMACY TO  OVERRIDE  ANY
 DENIAL  CODES  INDICATING THAT A PRESCRIPTION IS BEING REFILLED TOO SOON
 FOR THE PURPOSES OF MEDICATION SYNCHRONIZATION.
   (C)  NO  INDIVIDUAL  OR  GROUP  HEALTH  INSURANCE   POLICY   PROVIDING
 PRESCRIPTION  DRUG  COVERAGE  SHALL USE PAYMENT STRUCTURES INCORPORATING
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

co-Sponsors

multi-Sponsors

2017-A4306A - Details

See Senate Version of this Bill:
S5196
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Add §§3224-d & 4303-a, Ins L
Versions Introduced in Other Legislative Sessions:
2013-2014: A8975, S6763
2015-2016: A4036, S2809
2019-2020: A3009, S416, S4078

2017-A4306A - Summary

Provides for the insurance coverage of the synchronization of multiple prescriptions.

2017-A4306A - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  4306--A
                                                         Cal. No. 414
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 2, 2017
                                ___________
 
 Introduced by M. of A. QUART, McDONALD -- Multi-Sponsored by -- M. of A.
   AUBRY, BARCLAY, BRAUNSTEIN, BRINDISI, COOK, CRESPO, CYMBROWITZ, DILAN,
   FAHY,  HEVESI,  MOYA,  PRETLOW,  RIVERA,  RYAN, SEAWRIGHT, SIMANOWITZ,
   SKOUFIS, STECK, WEPRIN -- read once and referred to the  Committee  on
   Insurance  --  reported  from  committee, advanced to a third reading,
   amended and ordered reprinted, retaining its place  on  the  order  of
   third reading
 
 AN  ACT  to  amend  the insurance law, in relation to synchronization of
   multiple prescriptions
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. The insurance law is amended by adding a new section 3224-d
 to read as follows:
   § 3224-D. PRESCRIPTION SYNCHRONIZATION.  (A) EVERY INDIVIDUAL OR GROUP
 HEALTH INSURANCE POLICY PROVIDING PRESCRIPTION DRUG COVERAGE WHEN APPLI-
 CABLE TO PERMIT SYNCHRONIZATION SHALL PERMIT AND APPLY A DAILY PRO-RATED
 COST-SHARING RATE TO PRESCRIPTIONS THAT ARE DISPENSED BY A NETWORK PHAR-
 MACY  FOR  LESS  THAN  A  THIRTY DAY SUPPLY, WHEN IT IS AGREED AMONG THE
 COVERED INDIVIDUAL, A HEALTH CARE PRACTITIONER, AND  A  PHARMACIST  THAT
 SYNCHRONIZATION OF MULTIPLE PRESCRIPTIONS FOR THE TREATMENT OF A CHRONIC
 ILLNESS  IS  IN  THE  BEST  INTEREST  OF  THE COVERED INDIVIDUAL FOR THE
 MANAGEMENT OR TREATMENT OF THAT CHRONIC ILLNESS PROVIDED THAT ALL OF THE
 FOLLOWING APPLY:
   (I) THE MEDICATIONS ARE COVERED BY THE POLICY OR PLAN.
   (II) THE MEDICATIONS ARE USED FOR TREATMENT AND MANAGEMENT OF  CHRONIC
 CONDITIONS THAT ARE SUBJECT TO REFILLS.
   (III)  THE MEDICATIONS ARE NOT A SCHEDULE II CONTROLLED SUBSTANCE OR A
 SCHEDULE III CONTROLLED SUBSTANCE CONTAINING HYDROCODONE.
   (IV) THE MEDICATIONS MEET ALL PRIOR AUTHORIZATION CRITERIA SPECIFIC TO
 MEDICATIONS AT THE TIME OF THE SYNCHRONIZATION REQUEST.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

co-Sponsors

multi-Sponsors

2017-A4306B (ACTIVE) - Details

See Senate Version of this Bill:
S5196
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Add §§3224-d & 4303-a, Ins L
Versions Introduced in Other Legislative Sessions:
2013-2014: A8975, S6763
2015-2016: A4036, S2809
2019-2020: A3009, S416, S4078

2017-A4306B (ACTIVE) - Summary

Provides for the insurance coverage of the synchronization of multiple prescriptions.

2017-A4306B (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  4306--B
                                                         Cal. No. 326
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             February 2, 2017
                                ___________
 
 Introduced  by  M.  of  A. QUART, McDONALD, SEPULVEDA, ABINANTI, TITONE,
   PHEFFER AMATO, GARBARINO, SOLAGES, RAIA, GALEF, SKOUFIS -- Multi-Spon-
   sored by -- M. of A. AUBRY, BARCLAY, BRAUNSTEIN, BRINDISI, COOK, CRES-
   PO, CYMBROWITZ, DILAN, FAHY, HEVESI, PRETLOW, RIVERA, RYAN, SEAWRIGHT,
   STECK, WEPRIN -- read once and referred to the Committee on  Insurance
   --  reported  from committee, advanced to a third reading, amended and
   ordered reprinted, retaining its place on the order of  third  reading
   --  ordered to a third reading, amended and ordered reprinted, retain-
   ing its place on the order of third reading
 
 AN ACT to amend the insurance law, in  relation  to  synchronization  of
   multiple prescriptions
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. The insurance law is amended by adding a new section 3224-d
 to read as follows:
   § 3224-D. PRESCRIPTION SYNCHRONIZATION.  (A) EVERY INDIVIDUAL OR GROUP
 HEALTH INSURANCE POLICY PROVIDING PRESCRIPTION DRUG COVERAGE WHEN APPLI-
 CABLE TO PERMIT SYNCHRONIZATION SHALL PERMIT AND APPLY A DAILY PRO-RATED
 COST-SHARING RATE TO PRESCRIPTIONS THAT ARE DISPENSED BY A NETWORK PHAR-
 MACY FOR LESS THAN A THIRTY DAY SUPPLY, WHEN  IT  IS  AGREED  AMONG  THE
 COVERED  INDIVIDUAL,  A  HEALTH CARE PRACTITIONER, AND A PHARMACIST THAT
 SYNCHRONIZATION OF MULTIPLE PRESCRIPTIONS FOR THE TREATMENT OF A CHRONIC
 ILLNESS IS IN THE BEST  INTEREST  OF  THE  COVERED  INDIVIDUAL  FOR  THE
 MANAGEMENT OR TREATMENT OF THAT CHRONIC ILLNESS PROVIDED THAT ALL OF THE
 FOLLOWING APPLY:
   (I) THE MEDICATIONS ARE COVERED BY THE POLICY OR PLAN.
   (II)  THE MEDICATIONS ARE USED FOR TREATMENT AND MANAGEMENT OF CHRONIC
 CONDITIONS THAT ARE SUBJECT TO REFILLS.
   (III) THE MEDICATIONS ARE NOT A SCHEDULE II CONTROLLED SUBSTANCE OR  A
 SCHEDULE III CONTROLLED SUBSTANCE CONTAINING HYDROCODONE.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

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