S T A T E O F N E W Y O R K
________________________________________________________________________
6254
2017-2018 Regular Sessions
I N S E N A T E
May 11, 2017
___________
Introduced by Sen. HANNON -- read twice and ordered printed, and when
printed to be committed to the Committee on Insurance
AN ACT to amend the insurance law and the education law, in relation to
copayments for prescription drugs
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subsection (h) of section 4325 of the insurance law, as
added by chapter 487 of the laws of 2010, is amended to read as follows:
(h) No corporation or insurer organized or licensed under this chapter
which provides coverage for prescription drugs shall require, or enter
into a contract which permits, a copayment which exceeds the usual and
customary cost of such prescribed drug OR WHICH EXCEEDS THE TOTAL PRICE
PAID TO THE PHARMACY FOR SUCH PRESCRIBED DRUG AFTER THE INSURED HAS MET
THE ANNUAL DEDUCTIBLE REQUIREMENT.
§ 2. Section 6826-a of the education law is amended by adding a new
subdivision 3 to read as follows:
3. THE COPAYMENT AMOUNT SHALL NOT EXCEED THE TOTAL PRICE PAID TO THE
PHARMACY FOR THE PRESCRIBED DRUG, EXCEPT IN CASES WHERE THE INSURED HAS
NOT MET THE ANNUAL DEDUCTIBLE REQUIREMENT.
§ 3. This act shall take effect immediately.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD10881-01-7