Assembly Actions - Lowercase Senate Actions - UPPERCASE |
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Dec 20, 2019 | signed chap.691 |
Dec 10, 2019 | delivered to governor |
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 |
senate Bill S4078
Signed By GovernorSponsored By
Neil D. Breslin
(D, IP, WF) 44th Senate District
Archive: Last Bill Status Via A3009 - Signed by Governor
- Introduced
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed by Governor
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Co-Sponsors
Andrew J. Lanza
(R, C, IP, RFM) 24th Senate District
Simcha Felder
(D) 17th Senate District
Jen Metzger
(D, WF) 0 Senate District
Luis R. Sepúlveda
(D) 32nd Senate District
S4078 (ACTIVE) - Details
S4078 (ACTIVE) - Sponsor Memo
BILL NUMBER: S4078 SPONSOR: BRESLIN TITLE OF BILL: An act to amend the insurance law, in relation to synchronization of multiple prescriptions PURPOSE OR GENERAL IDEA OF BILL: Provides for the insurance coverage of the synchronization of multiple prescriptions and dispensing fee standardization. Specifically, this bill would amend the insurance law by adding Article 32, governing for- profit commercial health insurance policies, and Article 43, governing nonprofit health insurance policies. The bill would provide coverage for a pharmaceutical claim for less than a 30 day supply for patients enrolling in medication synchronization programs. SUMMARY OF SPECIFIC PROVISIONS: Sections 1 and 2 add the following provisions: (a) Provides that a pro-rated cost-sharing rate shall be permitted and
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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