Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 08, 2020 |
referred to insurance returned to senate died in assembly |
Jun 17, 2019 |
referred to insurance delivered to assembly passed senate ordered to third reading cal.1443 |
Jun 03, 2019 |
referred to rules |
Senate Bill S6303
2019-2020 Legislative Session
Sponsored By
(D, WF) 33rd Senate District
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
Actions
Votes
co-Sponsors
(D) 15th Senate District
(D) 16th Senate District
(D, WF) 48th Senate District
(D, WF) Senate District
2019-S6303 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A8246
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3216, 3221 & 4303, Ins L
- Versions Introduced in 2021-2022 Legislative Session:
-
S5299, A1741
2019-S6303 (ACTIVE) - Summary
Requires any third-party payments, financial assistance, discount, voucher or other price reduction instrument for out-of-pocket expenses made on behalf of an insured individual for the cost of prescription drugs to be applied to the insured's deductible, copayment, coinsurance, out-of-pocket maximum, or any other cost-sharing requirement when calculating such insured individual's overall contribution to any out-of-pocket maximum or any cost-sharing requirement.
2019-S6303 (ACTIVE) - Sponsor Memo
BILL NUMBER: S6303 SPONSOR: RIVERA TITLE OF BILL: An act to amend the insurance law, in relation to calculating an insured individual's overall contribution to any out-of- pocket maximum or any cost-sharing requirement PURPOSE OR GENERAL IDEA OF BILL: Requires insurance companies or pharmacy benefit managers to apply price reduction instruments for out-of-pocket expenses when calculating an insured individual's cost-sharing requirement. SUMMARY OF PROVISIONS: Section 1 requires any individual insurance policy that provides cover- age for prescription drugs to apply any third party payments or other price reduction instruments for out-of-pocket expenses made on behalf of an insured person when calculating the insured individuals overall contribution to any out-of-pocket maximum or cost-sharing requirement.
2019-S6303 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 6303 2019-2020 Regular Sessions I N S E N A T E June 3, 2019 ___________ Introduced by Sen. RIVERA -- read twice and ordered printed, and when printed to be committed to the Committee on Rules AN ACT to amend the insurance law, in relation to calculating an insured individual's overall contribution to any out-of-pocket maximum or any cost-sharing requirement THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subsection (i) of section 3216 of the insurance law is amended by adding a new paragraph 36 to read as follows: (36) ANY POLICY THAT PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL APPLY ANY THIRD-PARTY PAYMENTS, FINANCIAL ASSISTANCE, DISCOUNT, VOUCHER OR OTHER PRICE REDUCTION INSTRUMENT FOR OUT-OF-POCKET EXPENSES MADE ON BEHALF OF AN INSURED INDIVIDUAL FOR THE COST OF PRESCRIPTION DRUGS TO THE INSURED'S DEDUCTIBLE, COPAYMENT, COINSURANCE, OUT-OF-POCKET MAXIMUM, OR ANY OTHER COST-SHARING REQUIREMENT WHEN CALCULATING SUCH INSURED INDIVIDUAL'S OVERALL CONTRIBUTION TO ANY OUT-OF-POCKET MAXIMUM OR ANY COST-SHARING REQUIREMENT. § 2. Subsection (l) of section 3221 of the insurance law is amended by adding a new paragraph 21 to read as follows: (21) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE THAT PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL APPLY ANY THIRD-PARTY PAYMENTS, FINANCIAL ASSISTANCE, DISCOUNT, VOUCHER OR OTHER PRICE REDUCTION INSTRUMENT FOR OUT-OF-POCKET EXPENSES MADE ON BEHALF OF AN INSURED INDIVIDUAL FOR THE COST OF PRESCRIPTION DRUGS TO THE INSURED'S DEDUCTIBLE, COPAYMENT, COINSURANCE, OUT-OF-POCKET MAXIMUM, OR ANY OTHER COST-SHARING REQUIREMENT WHEN CALCULATING SUCH INSURED INDI- VIDUAL'S OVERALL CONTRIBUTION TO ANY OUT-OF-POCKET MAXIMUM OR ANY COST- SHARING REQUIREMENT. § 3. Section 4303 of the insurance law is amended by adding a new subsection (ss) to read as follows: EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD13146-01-9
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