Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Dec 22, 2021 |
approval memo.136 signed chap.780 |
Dec 10, 2021 |
delivered to governor |
May 26, 2021 |
returned to senate passed assembly |
May 19, 2021 |
ordered to third reading cal.361 substituted for a4668 |
May 19, 2021 |
substituted by s4111 |
May 13, 2021 |
advanced to third reading cal.361 |
May 11, 2021 |
reported |
Apr 28, 2021 |
reported referred to ways and means |
Feb 04, 2021 |
referred to insurance |
Assembly Bill A4668
Signed By Governor2021-2022 Legislative Session
Sponsored By
PEOPLES-STOKES
Archive: Last Bill Status Via S4111 - Signed by Governor
- 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
Jonathan Rivera
Jonathan Jacobson
2021-A4668 (ACTIVE) - Details
2021-A4668 (ACTIVE) - Summary
Prohibits health care plans that provide essential benefits under the Affordable Care Act from removing a prescription drug from a formulary or adding new or additional formulary restrictions from a formulary during an enrollment year; requires notice to policy holders of intent to remove a drug from a formulary.
2021-A4668 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4668 2021-2022 Regular Sessions I N A S S E M B L Y February 4, 2021 ___________ Introduced by M. of A. PEOPLES-STOKES -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law and the public health law, in relation to prescription drug formulary changes during a contract year 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 4909 to read as follows: § 4909. PRESCRIPTION DRUG FORMULARY CHANGES. (A) EXCEPT AS OTHERWISE PROVIDED IN SUBSECTION (C) OF THIS SECTION, A HEALTH CARE PLAN SHALL NOT: (I) REMOVE A PRESCRIPTION DRUG FROM A FORMULARY; (II) MOVE A PRESCRIPTION DRUG TO A TIER WITH A LARGER DEDUCTIBLE, COPAYMENT, OR COINSURANCE IF THE FORMULARY INCLUDES TWO OR MORE TIERS OF BENEFITS PROVIDING FOR DIFFERENT DEDUCTIBLES, COPAYMENTS OR COINSURANCE APPLICABLE TO THE PRESCRIPTION DRUGS IN EACH TIER; OR (III) ADD UTILIZATION MANAGEMENT RESTRICTIONS TO A PRESCRIPTION DRUG ON A FORMULARY, UNLESS SUCH CHANGES OCCUR AT THE TIME OF ENROLLMENT OR ISSUANCE OF COVERAGE. (B) PROHIBITIONS PROVIDED IN SUBSECTION (A) OF THIS SECTION SHALL APPLY BEGINNING ON THE DATE ON WHICH OPEN ENROLLMENT BEGINS FOR A PLAN YEAR AND THROUGH THE END OF THE PLAN YEAR TO WHICH SUCH OPEN ENROLLMENT PERIOD APPLIES. (C) (I) A HEALTH CARE PLAN WITH A FORMULARY THAT INCLUDES TWO OR MORE TIERS OF BENEFITS PROVIDING FOR DIFFERENT DEDUCTIBLES, COPAYMENTS OR COINSURANCE APPLICABLE TO PRESCRIPTION DRUGS IN EACH TIER MAY MOVE A PRESCRIPTION DRUG TO A TIER WITH A LARGER DEDUCTIBLE, COPAYMENT OR COIN- SURANCE IF AN AB-RATED GENERIC EQUIVALENT OR INTERCHANGEABLE BIOLOGICAL PRODUCT FOR SUCH PRESCRIPTION DRUG IS ADDED TO THE FORMULARY AT THE SAME TIME. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD08236-01-1
Comments
Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.
Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.
Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.