Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 08, 2020 |
referred to ways and means |
Feb 15, 2019 |
print number 2799a |
Feb 15, 2019 |
amend and recommit to ways and means |
Feb 11, 2019 |
reported referred to ways and means |
Jan 25, 2019 |
referred to health |
Assembly Bill A2799A
2019-2020 Legislative Session
Sponsored By
GOTTFRIED R
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
Actions
Bill Amendments
co-Sponsors
Robert J. Rodriguez
2019-A2799 - Details
2019-A2799 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2799 2019-2020 Regular Sessions I N A S S E M B L Y January 25, 2019 ___________ Introduced by M. of A. GOTTFRIED, RODRIGUEZ -- read once and referred to the Committee on Health AN ACT to amend the social services law, in relation to coverage for certain prescription drugs; and to repeal certain provisions of such law relating thereto THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 25 of section 364-j of the social services law, as added by section 55 of part D of chapter 56 of the laws of 2012, is amended to read as follows: 25. [Effective January first, two thousand thirteen, notwithstanding] NOTWITHSTANDING any provision of law to the contrary, managed care providers shall cover medically necessary prescription drugs in the ANTI-DEPRESSANT, ANTI-RETROVIRAL, ANTIREJECTION, SEIZURE, EPILEPSY, ENDOCRINE, HEMATOLOGIC, IMMUNOLOGIC AND atypical antipsychotic therapeu- tic [class] CLASSES, including non-formulary drugs, upon [demonstration] DETERMINATION by THE PRESCRIBER UNDER THIS SUBDIVISION. IF the prescri- ber, after consulting with the managed care provider, DETERMINES that such drugs, in the prescriber's reasonable professional judgment, are medically necessary and warranted, THE PRESCRIBER'S DETERMINATION SHALL BE FINAL. HOWEVER, THE PRESCRIBER'S DETERMINATION SHALL NOT BE FINAL: (A) WHERE THE DRUG APPROVED BY THE MANAGED CARE PROVIDER IS A GENERIC DRUG SUBJECT TO SUBPARAGRAPH (I) OF PARAGRAPH (A-1) OF SUBDIVISION FOUR OF SECTION THREE HUNDRED SIXTY-FIVE-A OF THIS ARTICLE (MANDATORY GENERIC SUBSTITUTION), AND THE PRESCRIBER HAS INDICATED THAT THE PRESCRIPTION SHALL BE DISPENSED AS WRITTEN; OR (B) IF IT IS FOR THE USE OF A DRUG THAT IS NOT CONSISTENT WITH FOOD AND DRUG ADMINISTRATION-APPROVED LABEL- ING OR SUPPORTED BY ONE OR MORE OFFICIAL COMPENDIA REFERENCES, INCLUD- ING, BUT NOT LIMITED TO, THE AMERICAN HOSPITAL FORMULARY SERVICE (AHFS), THE DRUGDEX DRUG INFORMATION SYSTEM AND THE UNITED STATES PHARMACOPEIA. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03448-01-9
co-Sponsors
Robert J. Rodriguez
Nader Sayegh
2019-A2799A (ACTIVE) - Details
2019-A2799A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2799--A 2019-2020 Regular Sessions I N A S S E M B L Y January 25, 2019 ___________ Introduced by M. of A. GOTTFRIED, RODRIGUEZ -- read once and referred to the Committee on Health -- reported and referred to the Committee on Ways and Means -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the social services law, in relation to coverage for certain prescription drugs; and to repeal certain provisions of such law relating thereto THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 25 of section 364-j of the social services law, as added by section 55 of part D of chapter 56 of the laws of 2012, is amended to read as follows: 25. [Effective January first, two thousand thirteen, notwithstanding] NOTWITHSTANDING any provision of law to the contrary, managed care providers shall cover medically necessary prescription drugs in the ANTI-DEPRESSANT, ANTI-RETROVIRAL, ANTIREJECTION, SEIZURE, EPILEPSY, ENDOCRINE, HEMATOLOGIC, IMMUNOLOGIC AND atypical antipsychotic therapeu- tic [class] CLASSES, including non-formulary drugs, upon [demonstration] DETERMINATION by THE PRESCRIBER UNDER THIS SUBDIVISION. IF the prescri- ber, after consulting with the managed care provider, DETERMINES that such drugs, in the prescriber's reasonable professional judgment, are medically necessary and warranted, THE PRESCRIBER'S DETERMINATION SHALL BE FINAL. HOWEVER, THE PRESCRIBER'S DETERMINATION SHALL NOT BE FINAL: (A) WHERE THE DRUG APPROVED BY THE MANAGED CARE PROVIDER IS A GENERIC DRUG SUBJECT TO SUBPARAGRAPH (I) OF PARAGRAPH (A-1) OF SUBDIVISION FOUR OF SECTION THREE HUNDRED SIXTY-FIVE-A OF THIS TITLE (MANDATORY GENERIC SUBSTITUTION), AND EVEN IF THE PRESCRIBER HAS INDICATED THAT THE PRESCRIPTION SHALL BE DISPENSED AS WRITTEN; OR (B) IF IT IS FOR THE USE OF A DRUG THAT IS NOT CONSISTENT WITH FOOD AND DRUG ADMINISTRATION-AP- PROVED LABELING OR SUPPORTED BY ONE OR MORE OFFICIAL COMPENDIA REFER- ENCES, INCLUDING, BUT NOT LIMITED TO, THE AMERICAN HOSPITAL FORMULARY EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
Comments
Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.
Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.
Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.