senate Bill S8384

2017-2018 Legislative Session

Relates to implementing the pharmacy benefit manager transparency act

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance Committee


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

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Actions

view actions (1)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
May 04, 2018 referred to insurance

S8384 (ACTIVE) - Details

See Assembly Version of this Bill:
A10026
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Add Art 6 §§601 - 607, Ins L
Versions Introduced in Other Legislative Sessions:
2019-2020: S1705
2021-2022: S3014

S8384 (ACTIVE) - Summary

Relates to implementing the pharmacy benefit manager transparency act.

S8384 (ACTIVE) - Sponsor Memo

S8384 (ACTIVE) - Bill Text download pdf


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

                                  8384

                            I N  S E N A T E

                               May 4, 2018
                               ___________

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

AN ACT to amend the insurance law, in relation to implementing the phar-
  macy benefit manager transparency act

  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 article  6  to
read as follows:
                                ARTICLE 6
                PHARMACY BENEFIT MANAGER TRANSPARENCY ACT
SECTION 601. SHORT TITLE.
        602. DEFINITIONS.
        603. RESPONSIBILITY TO COVERED ENTITIES.
        604. PHARMACY BENEFIT MANAGER TRANSPARENCY.
        605. REPORT PUBLICATION.
        606. COMPLIANCE AND ENFORCEMENT.
        607. RULEMAKING AUTHORITY.
  §  601.  SHORT  TITLE. THIS ARTICLE SHALL BE KNOWN AND MAY BE CITED AS
THE "PHARMACY BENEFIT MANAGER TRANSPARENCY ACT".
  § 602. DEFINITIONS. FOR THE PURPOSES OF THIS  ARTICLE,  THE  FOLLOWING
DEFINITIONS SHALL APPLY:
  (1)  "COVERED  ENTITY"  MEANS  A NONPROFIT HOSPITAL OR MEDICAL SERVICE
ORGANIZATION, INSURER,  HEALTH  COVERAGE  PLAN,  OR  HEALTH  MAINTENANCE
ORGANIZATION LICENSED IN THE STATE; A HEALTH PROGRAM ADMINISTERED BY THE
SUPERINTENDENT OR THE STATE IN THE CAPACITY OF PROVIDER OF HEALTH COVER-
AGE; OR AN EMPLOYER, LABOR UNION, OR OTHER GROUP OF PERSONS ORGANIZED IN
THE  STATE  THAT PROVIDES HEALTH COVERAGE TO COVERED INDIVIDUALS WHO ARE
EMPLOYED OR RESIDE IN THE STATE.
  (2)  "COVERED  INDIVIDUAL"  MEANS  A  MEMBER,  PARTICIPANT,  ENROLLEE,
CONTRACT HOLDER, OR POLICY HOLDER OR BENEFICIARY OF A COVERED ENTITY WHO
IS  PROVIDED  HEALTH  COVERAGE  BY  THE  COVERED ENTITY. THIS INCLUDES A
DEPENDENT OR OTHER PERSON PROVIDED HEALTH  COVERAGE  THROUGH  A  POLICY,
CONTRACT, OR PLAN FOR A COVERED INDIVIDUAL.

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

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