| Assembly Actions - Lowercase Senate Actions - UPPERCASE |
|
|---|---|
| Dec 29, 2021 | vetoed memo.85 |
| Dec 17, 2021 | delivered to governor |
| Jun 10, 2021 | returned to senate passed assembly ordered to third reading rules cal.773 substituted for a7598 |
| Jun 10, 2021 | substituted by s6603 rules report cal.773 reported reported referred to rules |
| May 25, 2021 | reported referred to ways and means |
| May 18, 2021 | referred to health |
assembly Bill A7598
Vetoed By Governor2021-2022 Legislative Session
Sponsored By
GOTTFRIED
Archive: Last Bill Status Via S6603 - Vetoed by Governor
- Introduced
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Vetoed by Governor
Your Voice
Actions
Votes
Co-Sponsors
Jeffrey Dinowitz
William Colton
Inez E. Dickens
Aileen Gunther
A7598 (ACTIVE) - Details
- See Senate Version of this Bill:
- S6603
- Law Section:
- Social Services Law
- Laws Affected:
- Amd §364-j, Soc Serv L; amd §280-a, Pub Health L
A7598 (ACTIVE) - Summary
Requires Medicaid managed care plans to reimburse retail pharmacies in an amount equal to the fee-for-service rate; allows retail pharmacies the opportunity to participate in another provider's network under the medical assistance program; prohibits pharmacy benefit managers from limiting an individual's option to receive medications from non-mail order pharmacies.
A7598 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
7598
2021-2022 Regular Sessions
I N A S S E M B L Y
May 18, 2021
___________
Introduced by M. of A. GOTTFRIED -- read once and referred to the
Committee on Health
AN ACT to amend the social services law and the public health law, in
relation to protecting access to pharmacy services
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subdivision 4 of section 364-j of the social services law
is amended by adding two new paragraphs (w) and (x) to read as follows:
(W) NOTWITHSTANDING ANY PROVISION OF LAW TO THE CONTRARY, ADMINISTRA-
TIVE FEES PAID TO A MANAGED CARE PROVIDER OR A PHARMACY BENEFIT MANAGER
UNDER THE MEDICAL ASSISTANCE PROGRAM SHALL BE REDUCED FOR THE PURPOSE OF
INCREASING REIMBURSEMENT RATES TO RETAIL PHARMACIES UNDER THE MEDICAID
MANAGED CARE PROGRAM. BEGINNING ON AND AFTER JULY FIRST, TWO THOUSAND
TWENTY-ONE, ALL REIMBURSEMENT PAID BY MEDICAID MANAGED CARE PLANS TO
RETAIL PHARMACIES SHALL INCLUDE A PROFESSIONAL DISPENSING FEE AND THE
DRUG ACQUISITION COST FOR EACH OUTPATIENT DRUG DISPENSED AT NO LESS THAN
THE AMOUNT ESTABLISHED UNDER THE FEE-FOR-SERVICE PROGRAM, AS DEFINED IN
SECTION THREE HUNDRED SIXTY-SEVEN-A OF THIS TITLE, REGARDLESS OF WHETHER
SUCH REIMBURSEMENT IS PAID DIRECTLY BY THE MEDICAID MANAGED CARE PLAN OR
PASSED THROUGH A PHARMACY BENEFIT MANAGER OR OTHER ENTITY. THE
REIMBURSEMENT PROVIDED FOR UNDER THIS PARAGRAPH SHALL NOT APPLY TO ANY
EXISTING REIMBURSEMENT ARRANGEMENTS INVOLVING AN ELIGIBLE PROVIDER UNDER
SECTION 340B OF THE FEDERAL PUBLIC HEALTH SERVICES ACT OR A COMPREHEN-
SIVE HIV SPECIAL NEEDS PLAN UNDER SECTION FORTY-FOUR HUNDRED THREE-C OF
THE PUBLIC HEALTH LAW UNDER THE MEDICAL ASSISTANCE PROGRAM. NO MANAGED
CARE PROVIDER OR PHARMACY BENEFIT MANAGER SHALL REIMBURSE A PHARMACY
OWNED BY OR AFFILIATED WITH SUCH ENTITY AT A HIGHER RATE THAN THAT PAID
BY SUCH ENTITY TO A PHARMACY IT DOES NOT OWN OR IS NOT OTHERWISE AFFIL-
IATED WITH.
(X) NOTWITHSTANDING ANY PROVISION OF LAW TO THE CONTRARY, A MANAGED
CARE PROVIDER OR PHARMACY BENEFIT MANAGER ACTING ON ITS BEHALF, AS
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.