Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 03, 2018 |
referred to health returned to senate died in assembly |
Jun 22, 2017 |
referred to health |
Jun 21, 2017 |
delivered to assembly passed senate ordered to third reading cal.2182 committee discharged and committed to rules |
Mar 08, 2017 |
print number 2763a |
Mar 08, 2017 |
amend and recommit to health |
Jan 17, 2017 |
referred to health |
Senate Bill S2763A
2017-2018 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - In Senate Committee Health 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
Actions
Votes
Bill Amendments
2017-S2763 - Details
- See Assembly Version of this Bill:
- A6733
- Current Committee:
- Senate Health
- Law Section:
- Public Health Law
- Laws Affected:
- Add §280-c, Pub Health L
- Versions Introduced in 2015-2016 Legislative Session:
-
S7150
2017-S2763 - Sponsor Memo
BILL NUMBER: S2763 TITLE OF BILL : An act to amend the public health law, in relation to audits of pharmacies PURPOSE OR GENERAL IDEA OF BILL : To establish statutory guidelines regarding the audit of pharmacy records conducted on the request of or ordered by a pharmacy benefit manager, and to provide guidance to a pharmacy benefit manager regarding the denial or payment of claims. SUMMARY OF SPECIFIC PROVISIONS : Section one of this bill amends the Public Health Law by adding a new section 280-c. This new section would require pharmacy benefit managers to abide by the following procedures when conducting an audit of pharmacy records: 1. Schedule on-site audit of a pharmacy at any time other than during the first three calendar days of any month. 2. Notify the pharmacy that an audit is pending at least seven days before the audit begins. 3. Limit audit periods to 24 months after the date a claim is
2017-S2763 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2763 2017-2018 Regular Sessions I N S E N A T E January 17, 2017 ___________ Introduced by Sen. GOLDEN -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, in relation to audits of pharma- cies THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The public health law is amended by adding a new section 280-c to read as follows: § 280-C. PHARMACY AUDITS BY PHARMACY BENEFIT MANAGERS. 1. DEFI- NITIONS. AS USED IN THIS SECTION, THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANINGS: (A) "PHARMACY BENEFIT MANAGER" SHALL HAVE THE SAME MEANING AS IN SECTION TWO HUNDRED EIGHTY-A OF THIS ARTICLE. (B) "PHARMACY" SHALL MEAN A PHARMACY THAT HAS CONTRACTED WITH A PHAR- MACY BENEFIT MANAGER FOR THE PROVISION OF PHARMACY SERVICES. 2. WHEN CONDUCTING AN AUDIT OF A PHARMACY'S RECORDS, A PHARMACY BENE- FIT MANAGER SHALL: (A) NOT CONDUCT AN ON-SITE AUDIT OF A PHARMACY AT ANY TIME DURING THE FIRST THREE CALENDAR DAYS OF A MONTH; (B) NOTIFY THE PHARMACY OR ITS CONTRACTING AGENT NO LATER THAN SEVEN DAYS BEFORE THE DATE OF INITIAL ON-SITE AUDIT; (C) LIMIT THE AUDIT PERIOD TO TWENTY-FOUR MONTHS AFTER THE DATE A CLAIM IS SUBMITTED TO OR ADJUDICATED BY THE PHARMACY BENEFIT MANAGER; (D) USE THE WRITTEN AND VERIFIABLE RECORDS OF A HOSPITAL, PHYSICIAN OR OTHER AUTHORIZED PRACTITIONER, WHICH ARE TRANSMITTED BY ANY MEANS OF COMMUNICATION, TO VALIDATE THE PHARMACY RECORDS IN ACCORDANCE WITH STATE AND FEDERAL LAW; (E) PROVIDE THE PHARMACY OR ITS CONTRACTING AGENT WITH A COPY OF THE PRELIMINARY AUDIT REPORT WITHIN ONE HUNDRED TWENTY DAYS AFTER THE CONCLUSION OF THE AUDIT; EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD06021-01-7
co-Sponsors
(D) 15th Senate District
(R, C, IP, RFM) Senate District
(D) Senate District
(D) Senate District
2017-S2763A (ACTIVE) - Details
- See Assembly Version of this Bill:
- A6733
- Current Committee:
- Senate Health
- Law Section:
- Public Health Law
- Laws Affected:
- Add §280-c, Pub Health L
- Versions Introduced in 2015-2016 Legislative Session:
-
S7150
2017-S2763A (ACTIVE) - Sponsor Memo
BILL NUMBER: S2763A TITLE OF BILL : An act to amend the public health law, in relation to audits of pharmacies PURPOSE OR GENERAL IDEA OF BILL : To establish statutory guidelines regarding the audit of pharmacy records conducted on the behest of or ordered by a pharmacy benefit manager, and to provide guidance to a pharmacy benefit manager regarding the denial or payment of claims. SUMMARY OF SPECIFIC PROVISIONS : Section one of this bill adds a new section 280-c to the Public Health Law. This new section would require pharmacy benefit managers, when conducting an audit of that looks to audit pharmacy records to: *Schedule on-site audit of a pharmacy at any time other than during the first three calendar days of any month. *Notify the pharmacy that an audit is pending at least seven days before the on-site audit begins. Notice is required to be written and if sent by common carrier, return receipt must be requested. If the notice is sent electronically,
2017-S2763A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2763--A 2017-2018 Regular Sessions I N S E N A T E January 17, 2017 ___________ Introduced by Sen. GOLDEN -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law, in relation to audits of pharma- cies THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The public health law is amended by adding a new section 280-c to read as follows: § 280-C. PHARMACY AUDITS BY PHARMACY BENEFIT MANAGERS. 1. DEFI- NITIONS. AS USED IN THIS SECTION, THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANINGS: (A) "PHARMACY BENEFIT MANAGER" SHALL HAVE THE SAME MEANING AS IN SECTION TWO HUNDRED EIGHTY-A OF THIS ARTICLE. (B) "PHARMACY" SHALL MEAN A PHARMACY THAT HAS CONTRACTED WITH A PHAR- MACY BENEFIT MANAGER FOR THE PROVISION OF PHARMACY SERVICES. 2. WHEN CONDUCTING AN AUDIT OF A PHARMACY'S RECORDS, A PHARMACY BENE- FIT MANAGER SHALL: (A) NOT CONDUCT AN ON-SITE AUDIT OF A PHARMACY AT ANY TIME DURING THE FIRST THREE CALENDAR DAYS OF A MONTH; (B) NOTIFY THE PHARMACY OR ITS CONTRACTING AGENT NO LATER THAN FIFTEEN DAYS BEFORE THE DATE OF INITIAL ON-SITE AUDIT. SUCH NOTIFICATION TO THE PHARMACY OR ITS CONTRACTING AGENT SHALL BE IN WRITING DELIVERED EITHER (I) BY MAIL OR COMMON CARRIER, RETURN RECEIPT REQUESTED, OR (II) ELEC- TRONICALLY WITH ELECTRONIC RECEIPT CONFIRMATION, ADDRESSED TO THE SUPER- VISING PHARMACIST OF RECORD AND PHARMACY CORPORATE OFFICE WHERE APPLICA- BLE, AT LEAST FIFTEEN DAYS BEFORE THE DATE OF AN INITIAL ON-SITE AUDIT; (C) LIMIT THE AUDIT PERIOD TO TWENTY-FOUR MONTHS AFTER THE DATE A CLAIM IS SUBMITTED TO OR ADJUDICATED BY THE PHARMACY BENEFIT MANAGER; EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD06021-03-7
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