|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Mar 07, 2018||referred to insurance|
assembly Bill A10026
Archive: Last Bill Status - In Assembly Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
A10026 - Details
A10026 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 10026 I N A S S E M B L Y March 7, 2018 ___________ Introduced by M. of A. ORTIZ -- read once and referred 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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