assembly Bill A7200A

2021-2022 Legislative Session

Relates to coverage for prescription drugs under Medicaid; repealer

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Sponsored By

Current 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 (5)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Feb 16, 2022 print number 7200a
Feb 16, 2022 amend and recommit to ways and means
Jan 05, 2022 referred to ways and means
May 25, 2021 reported referred to ways and means
Apr 29, 2021 referred to health

Co-Sponsors

A7200 - Details

See Senate Version of this Bill:
S9043
Law Section:
Social Services Law
Laws Affected:
Rpld Part FFF §§1 & 1-a, Chap 56 of 2020; add §365-i, rpld §364-j sub 4 ¶(u), subs 25 - 26-b, Soc Serv L; amd §273, Pub Health L

A7200 - Summary

Provides that prescription drugs eligible for reimbursement shall be provided and paid for under the preferred drug program and the clinical drug review program; restores pharmacy benefits under Medicaid managed care.

A7200 - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   7200
 
                        2021-2022 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              April 29, 2021
                                ___________
 
 Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
   Committee on Health
 
 AN ACT to amend the social services law,  in  relation  to  prescription
   drugs  eligible for Medicaid coverage; to amend the public health law,
   in relation to prior authorization under the preferred  drug  program;
   to  repeal certain provisions of part FFF of chapter 56 of the laws of
   2020 directing the department of health to remove the pharmacy benefit
   from the managed care benefit  package,  relating  to  restoring  such
   benefits; and to repeal certain provisions of the social services law,
   relating  to  coverage  for  certain prescription drugs under Medicaid
   managed care programs
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Legislative findings. This legislature finds that the costs
 of  many prescription drugs in the market have been escalating unreason-
 ably. The preferred drug program and the clinical  drug  review  program
 under  the  public  health law provide effective mechanisms for assuring
 access to quality, effective and safe drugs to  patients  at  reasonable
 cost.  Providing  prescription  drugs  to  Medicaid  managed health care
 provider participants through these programs will maximize the  Medicaid
 program's  ability  to  negotiate  more  substantial  rebates  with drug
 manufacturers (effectively, lower  prices),  while  protecting  Medicaid
 managed care provider participants.
   § 2. Sections 1 and 1-a of part FFF of chapter 56 of the laws of 2020,
 relating to prescription drugs under the Medicaid program, are REPEALED.
   §  3. The social services law is amended by adding a new section 365-i
 to read as follows:
   § 365-I. PRESCRIPTION DRUGS IN MEDICAID. 1. THE DEFINITIONS  OF  TERMS
 IN  SECTION  TWO HUNDRED SEVENTY OF THE PUBLIC HEALTH LAW SHALL APPLY TO
 THIS SECTION.   AS USED IN THIS  SECTION,  UNLESS  THE  CONTEXT  CLEARLY
 REQUIRES OTHERWISE, "MANAGED CARE PROVIDER" MEANS A MANAGED CARE PROVID-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.

Co-Sponsors

A7200A (ACTIVE) - Details

See Senate Version of this Bill:
S9043
Law Section:
Social Services Law
Laws Affected:
Rpld Part FFF §§1 & 1-a, Chap 56 of 2020; add §365-i, rpld §364-j sub 4 ¶(u), subs 25 - 26-b, Soc Serv L; amd §273, Pub Health L

A7200A (ACTIVE) - Summary

Provides that prescription drugs eligible for reimbursement shall be provided and paid for under the preferred drug program and the clinical drug review program; restores pharmacy benefits under Medicaid managed care.

A7200A (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  7200--A
 
                        2021-2022 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              April 29, 2021
                                ___________
 
 Introduced  by  M.  of  A.  GOTTFRIED,  STECK, McDONALD -- read once and
   referred to the Committee on Health -- recommitted to the Committee on
   Ways and Means in accordance with Assembly Rule 3, sec. 2 -- committee
   discharged, bill amended, ordered reprinted as amended and recommitted
   to said committee

 AN ACT to amend the social services law,  in  relation  to  prescription
   drugs  eligible for Medicaid coverage; to amend the public health law,
   in relation to prior authorization under the preferred  drug  program;
   to  repeal certain provisions of part FFF of chapter 56 of the laws of
   2020 directing the department of health to remove the pharmacy benefit
   from the managed care benefit  package,  relating  to  restoring  such
   benefits; and to repeal certain provisions of the social services law,
   relating  to  coverage  for  certain prescription drugs under Medicaid
   managed care programs
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Legislative findings. This legislature finds that the costs
 of  many prescription drugs in the market have been escalating unreason-
 ably. The preferred drug program and the clinical  drug  review  program
 under  the  public  health law provide effective mechanisms for assuring
 access to quality, effective and safe drugs to  patients  at  reasonable
 cost.  Providing  prescription  drugs  to  Medicaid  managed health care
 provider participants through these programs will maximize the  Medicaid
 program's  ability  to  negotiate  more  substantial  rebates  with drug
 manufacturers (effectively, lower  prices),  while  protecting  Medicaid
 managed care provider participants.
   § 2. Sections 1 and 1-a of part FFF of chapter 56 of the laws of 2020,
 relating to prescription drugs under the Medicaid program, are REPEALED.
   §  3. The social services law is amended by adding a new section 365-i
 to read as follows:
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11099-02-2
 A. 7200--A                          2