assembly Bill A10026

2017-2018 Legislative Session

Relates to implementing the pharmacy benefit manager transparency act

download bill text pdf

Sponsored By

Current Bill Status - In Assembly 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
Mar 07, 2018 referred to insurance

A10026 - Details

See Senate Version of this Bill:
S8384
Law Section:
Insurance Law
Laws Affected:
Add Art 6 ยงยง601 - 607, Ins L

A10026 - Summary

Relates to implementing the pharmacy benefit manager transparency act.

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.
  S 601. SHORT TITLE. THIS ARTICLE SHALL BE KNOWN AND MAY  BE  CITED  AS
THE "PHARMACY BENEFIT MANAGER TRANSPARENCY ACT".
  S  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.
                                                           LBD14871-01-8

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