senate Bill S6531

2019-2020 Legislative Session

Provides for pharmacy benefit management and the procurement of prescription drugs at a negotiated rate for dispensation; repealer

download bill text pdf

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Current Bill Status - 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 20, 2019 returned to senate
passed assembly
ordered to third reading rules cal.543
substituted for a2836a
Jun 17, 2019 referred to ways and means
delivered to assembly
passed senate
ordered to third reading cal.1467
Jun 14, 2019 referred to rules

Co-Sponsors

S6531 (ACTIVE) - Details

See Assembly Version of this Bill:
A2836
Law Section:
Public Health Law
Laws Affected:
Rpld & add §280-a, Pub Health L; add Art 29 §§2901 - 2913, amd §2402, Ins L
Versions Introduced in 2017-2018 Legislative Session:
A10985

S6531 (ACTIVE) - Summary

Provides for pharmacy benefit management and the procurement of prescription drugs to be dispensed to patients, or the administration or management of prescription drug benefits; sets forth definitions; provides for funds received by a pharmacy in trust for the health plan or provider and provides for accountability of such funds; further provides for an appeals process to investigate and resolve disputes regarding multi-source generic drug pricing.

S6531 (ACTIVE) - Sponsor Memo

S6531 (ACTIVE) - Bill Text download pdf


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

                                  6531

                       2019-2020 Regular Sessions

                            I N  S E N A T E

                              June 14, 2019
                               ___________

Introduced  by  Sens. BRESLIN, RIVERA -- read twice and ordered printed,
  and when printed to be committed to the Committee on Rules

AN ACT to amend the public health law, in relation to  pharmacy  benefit
  managers;  to amend the insurance law, in relation to registration and
  licensing  of  pharmacy  benefit  managers;  and  to  repeal   certain
  provisions of the public health law relating thereto

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

  Section 1. Section 280-a of the public health law is  REPEALED  and  a
new section 280-a is added to read as follows:
  §  280-A.  PHARMACY BENEFIT MANAGERS. 1. DEFINITIONS.  AS USED IN THIS
SECTION, THE FOLLOWING TERMS SHALL HAVE THE FOLLOWING MEANINGS:
  (A) "HEALTH PLAN OR PROVIDER" MEANS AN ENTITY  FOR  WHICH  A  PHARMACY
BENEFIT  MANAGER PROVIDES PHARMACY BENEFIT MANAGEMENT INCLUDING, BUT NOT
LIMITED TO: (I) A HEALTH BENEFIT PLAN OR  OTHER  ENTITY  THAT  APPROVES,
PROVIDES, ARRANGES FOR, OR PAYS FOR HEALTH CARE ITEMS OR SERVICES, UNDER
WHICH  PRESCRIPTION  DRUGS FOR BENEFICIARIES OF THE ENTITY ARE PURCHASED
OR WHICH PROVIDES OR ARRANGES REIMBURSEMENT IN WHOLE OR IN PART FOR  THE
PURCHASE  OF  PRESCRIPTION  DRUGS;  OR  (II)  A  HEALTH CARE PROVIDER OR
PROFESSIONAL THAT ACQUIRES PRESCRIPTION DRUGS  TO  USE  OR  DISPENSE  IN
PROVIDING  HEALTH  CARE  TO  PATIENTS WHERE THE PRESCRIPTION DRUG IS THE
SUBJECT OF THE PHARMACY BENEFIT MANAGER'S  PHARMACY  BENEFIT  MANAGEMENT
SERVICES.
  (B)  "PHARMACY BENEFIT MANAGEMENT SERVICES" MEANS THE SERVICE PROVIDED
TO A HEALTH PLAN OR PROVIDER, DIRECTLY OR THROUGH  ANOTHER  ENTITY,  AND
REGARDLESS  OF  WHETHER THE PHARMACY BENEFIT MANAGER AND THE HEALTH PLAN
OR PROVIDER ARE RELATED, OR ASSOCIATED BY OWNERSHIP,  COMMON  OWNERSHIP,
ORGANIZATION  OR  OTHERWISE;  INCLUDING  THE PROCUREMENT OF PRESCRIPTION
DRUGS TO BE DISPENSED TO PATIENTS, OR THE ADMINISTRATION  OR  MANAGEMENT
OF  PRESCRIPTION DRUG BENEFITS, INCLUDING BUT NOT LIMITED TO, ANY OF THE
FOLLOWING:

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

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