Assembly Bill A10026

2017-2018 Legislative Session

Relates to implementing the pharmacy benefit manager transparency act

download bill text pdf

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Archive: Last Bill Status - In Assembly 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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2017-A10026 (ACTIVE) - Details

See Senate Version of this Bill:
S8384
Current Committee:
Assembly 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

2017-A10026 (ACTIVE) - Summary

Relates to implementing the pharmacy benefit manager transparency act.

2017-A10026 (ACTIVE) - 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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