assembly Bill A10821

2019-2020 Legislative Session

Relates to capping cost sharing for insulin

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Archive: Last 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
Jul 15, 2020 referred to insurance

A10821 (ACTIVE) - Details

See Senate Version of this Bill:
S8255
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:
2021-2022: A2383, S1413
2023-2024: A4141, S504

A10821 (ACTIVE) - Summary

Lowers the cost sharing cap for insulin from one hundred dollars to thirty dollars.

A10821 (ACTIVE) - Bill Text download pdf


                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  10821

                          I N  A S S E M B L Y

                              July 15, 2020
                               ___________

Introduced  by  COMMITTEE  ON  RULES -- (at request of M. of A. Niou) --
  read once and referred to the Committee on Insurance

AN ACT to amend the insurance law, in relation to capping  cost  sharing
  for insulin

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Subparagraph (B) of paragraph 15-a  of  subsection  (i)  of
section  3216  of the insurance law, as amended by section 1 of part DDD
of chapter 56 of the laws of 2020, is amended to read as follows:
  (B) Such coverage may be subject to annual deductibles and coinsurance
as may be deemed appropriate by the superintendent and as are consistent
with those  established  for  other  benefits  within  a  given  policy;
provided  however, the total amount that a covered person is required to
pay out of pocket for covered prescription insulin drugs shall be capped
at an amount not to exceed [one hundred] THIRTY dollars  per  thirty-day
supply,  regardless of the amount or type of insulin needed to fill such
covered person's prescription and regardless of  the  insured's  deduct-
ible, copayment, coinsurance or any other cost sharing requirement.
  § 2. Subparagraph (B) of paragraph 7 of subsection (k) of section 3221
of  the insurance law, as amended by section 2 of part DDD of chapter 56
of the laws of 2020, is amended to read as follows:
  (B) Such coverage may be subject to annual deductibles and coinsurance
as may be deemed appropriate by the superintendent and as are consistent
with those  established  for  other  benefits  within  a  given  policy;
provided  however, the total amount that a covered person is required to
pay out of pocket for covered prescription insulin drugs shall be capped
at an amount not to exceed [one hundred] THIRTY dollars  per  thirty-day
supply,  regardless of the amount or type of insulin needed to fill such
covered person's prescription and regardless of  the  insured's  deduct-
ible, copayment, coinsurance or any other cost sharing requirement.
  §  3.  Paragraph  2 of subsection (u) of section 4303 of the insurance
law, as amended by section 3 of part DDD of chapter 56 of  the  laws  of
2020, is amended to read as follows:

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