senate Bill S4078

2019-2020 Legislative Session

Provides for the insurance coverage of the synchronization of multiple prescriptions

download bill text pdf

Sponsored By

Current Bill Status Via A3009 - Passed Senate & Assembly


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

view actions (9)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 17, 2019 returned to assembly
passed senate
3rd reading cal.987
substituted for s4078
Jun 17, 2019 substituted by a3009
Jun 03, 2019 advanced to third reading
May 30, 2019 2nd report cal.
May 29, 2019 1st report cal.987
Feb 27, 2019 referred to insurance

Co-Sponsors

S4078 (ACTIVE) - Details

See Assembly Version of this Bill:
A3009
Law Section:
Insurance Law
Laws Affected:
Add §§3224-d & 4303-a, Ins L
Versions Introduced in Other Legislative Sessions:
2013-2014: S6763, A8975
2015-2016: S2809, A4036
2017-2018: S5196, A4306

S4078 (ACTIVE) - Summary

Provides for the insurance coverage of the synchronization of multiple prescriptions.

S4078 (ACTIVE) - Sponsor Memo

S4078 (ACTIVE) - Bill Text download pdf


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

                                  4078

                       2019-2020 Regular Sessions

                            I N  S E N A T E

                            February 27, 2019
                               ___________

Introduced  by Sens. BRESLIN, LANZA, SEPULVEDA -- read twice and ordered
  printed, and when printed to be committed to the Committee  on  Insur-
  ance

AN  ACT  to  amend  the insurance law, in relation to synchronization of
  multiple prescriptions

  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 section 3224-d
to read as follows:
  § 3224-D. PRESCRIPTION SYNCHRONIZATION.  (A) EVERY INDIVIDUAL OR GROUP
HEALTH INSURANCE POLICY PROVIDING PRESCRIPTION DRUG COVERAGE WHEN APPLI-
CABLE TO PERMIT SYNCHRONIZATION SHALL PERMIT AND APPLY A DAILY PRO-RATED
COST-SHARING RATE TO PRESCRIPTIONS THAT ARE DISPENSED BY A NETWORK PHAR-
MACY  FOR  LESS  THAN  A  THIRTY DAY SUPPLY, WHEN IT IS AGREED AMONG THE
COVERED INDIVIDUAL, A HEALTH CARE PRACTITIONER, AND  A  PHARMACIST  THAT
SYNCHRONIZATION OF MULTIPLE PRESCRIPTIONS FOR THE TREATMENT OF A CHRONIC
ILLNESS  IS  IN  THE  BEST  INTEREST  OF  THE COVERED INDIVIDUAL FOR THE
MANAGEMENT OR TREATMENT OF THAT CHRONIC ILLNESS PROVIDED THAT ALL OF THE
FOLLOWING APPLY:
  (I) THE MEDICATIONS ARE COVERED BY THE POLICY OR PLAN.
  (II) THE MEDICATIONS ARE USED FOR TREATMENT AND MANAGEMENT OF  CHRONIC
CONDITIONS THAT ARE SUBJECT TO REFILLS.
  (III)  THE MEDICATIONS ARE NOT A SCHEDULE II CONTROLLED SUBSTANCE OR A
SCHEDULE III CONTROLLED SUBSTANCE CONTAINING HYDROCODONE.
  (IV) THE MEDICATIONS MEET ALL PRIOR AUTHORIZATION CRITERIA SPECIFIC TO
MEDICATIONS AT THE TIME OF THE SYNCHRONIZATION REQUEST.
  (V) THE MEDICATIONS ARE OF A FORMULATION THAT CAN BE EFFECTIVELY SPLIT
OVER REQUIRED SHORT FILL PERIODS TO ACHIEVE SYNCHRONIZATION.
  (VI) THE MEDICATIONS DO NOT HAVE QUANTITY LIMITS OR DOSE  OPTIMIZATION
CRITERIA OR REQUIREMENTS THAT WOULD BE VIOLATED IN FULFILLING SYNCHRONI-
ZATION.

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

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