Senate Bill S1705

2019-2020 Legislative Session

Relates to implementing the pharmacy benefit manager transparency act

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Insurance 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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2019-S1705 (ACTIVE) - Details

See Assembly Version of this Bill:
A2970
Current Committee:
Senate Insurance
Law Section:
Insurance Law
Laws Affected:
Add Art 6 §§601 - 607, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: S8384, A10023
2021-2022: S3014

2019-S1705 (ACTIVE) - Summary

Implements the pharmacy benefit manager transparency act requiring disclosure and publishing of reports relating to pharmacy benefit managers.

2019-S1705 (ACTIVE) - Sponsor Memo

2019-S1705 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1705
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                             January 15, 2019
                                ___________
 
 Introduced by Sen. SEPULVEDA -- read twice and ordered printed, and when
   printed to be committed 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

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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