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Assembly Bill A7199

2017-2018 Legislative Session

Relates to prescription drugs

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Archive: Last Bill Status - In Assembly Committee

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2017-A7199 (ACTIVE) - Details

Current Committee:
Assembly Higher Education
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L; amd §§238 & 238-a, Pub Health L; amd §§6509-a, 6530, 6802 & 6807, Ed L

2017-A7199 (ACTIVE) - Summary

Relates to prescription drugs.

2017-A7199 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7199
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              April 12, 2017
                                ___________
 
 Introduced by M. of A. McDONALD -- read once and referred to the Commit-
   tee on Higher Education
 
 AN ACT to amend the insurance law, the public health law, and the educa-
   tion law, in relation to prescription drugs
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
 amended by adding two new paragraphs 28-a and 28-b to read as follows:
   (28-A)  (A)  ANY  POLICY THAT PROVIDES COVERAGE FOR PRESCRIPTION DRUGS
 AND ALSO PROVIDES  COVERAGE  FOR  CANCER  CHEMOTHERAPY  TREATMENT  SHALL
 PERMIT  EACH  INSURED  TO  FILL ANY COVERED PRESCRIPTION UNDER PARAGRAPH
 TWELVE-A OF THIS SUBSECTION THAT MAY BE OBTAINED AT  A  NETWORK  PARTIC-
 IPATING  MAIL  ORDER  OR  OTHER  NON-RETAIL  PHARMACY,  AT THE INSURED'S
 OPTION, FROM A NETWORK PARTICIPATING ONCOLOGIST  PROVIDING  SERVICES  IN
 ACCORDANCE  WITH SECTION SIXTY-EIGHT HUNDRED SEVEN OF THE EDUCATION LAW.
 ANY POLICY PROVIDING SUCH COVERAGE SHALL NOT IMPOSE A CO-PAYMENT FEE  OR
 OTHER  CONDITION  ON  ANY INSURED WHO ELECTS TO PURCHASE ORAL ANTICANCER
 MEDICATIONS FROM A PRESCRIBING NETWORK PARTICIPATING ONCOLOGIST WHICH IS
 NOT ALSO IMPOSED ON INSUREDS ELECTING TO PURCHASE DRUGS FROM  A  NETWORK
 PARTICIPATING  MAIL ORDER OR OTHER NON-RETAIL PHARMACY. THE POLICY SHALL
 NOT EXCLUDE FROM NETWORK  PARTICIPATION  ANY  ONCOLOGIST  DISPENSING  OR
 INVOLVED  IN  THE  PROVISION  OF  PHARMACY  SERVICES  IN ACCORDANCE WITH
 SECTION SIXTY-EIGHT HUNDRED SEVEN OF THE  EDUCATION  LAW  DUE  TO  THEIR
 DISPENSING  OR  THE  PROVISION OF SAID PHARMACY SERVICES. THIS PARAGRAPH
 SHALL ALSO APPLY TO ANY PHARMACY BENEFITS MANAGER AS DEFINED IN  SECTION
 TWO HUNDRED EIGHTY-A OF THE PUBLIC HEALTH LAW.
   (B)  FOR  THE  PURPOSES  OF  THIS PARAGRAPH, "ONCOLOGIST" SHALL MEAN A
 LICENSED OR REGISTERED PHYSICIAN WHO IS BOARD CERTIFIED OR BOARD  ELIGI-
 BLE  IN  MEDICAL  ONCOLOGY,  RADIATION  ONCOLOGY, HEMATOLOGY, OR ANOTHER
 ONCOLOGY SPECIALTY RECOGNIZED BY THE AMERICAN BOARD OF MEDICAL  SPECIAL-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD10670-01-7
              

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