NY State Senate Bill S1413

Archive: Last Bill Status - Passed Senate

Introduced
In Committee
On Floor Calendar
- Passed Senate
- Passed Assembly
Delivered to Governor
Signed/Vetoed by Governor

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Actions

view actions (16)

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
May 24, 2022	referred to insurance delivered to assembly passed senate
Feb 16, 2022	advanced to third reading
Feb 15, 2022	2nd report cal.
Feb 14, 2022	1st report cal.486
Jan 05, 2022	referred to insurance returned to senate died in assembly
Mar 22, 2021	referred to insurance delivered to assembly passed senate
Mar 03, 2021	advanced to third reading
Mar 02, 2021	2nd report cal.
Mar 01, 2021	1st report cal.477
Jan 12, 2021	referred to insurance

Votes

view votes

May 24, 2022 - floor Vote

S1413

floor

Aye

Nay

Absent

Excused

Abstained

Feb 14, 2022 - Insurance committee Vote

S1413

committee

Aye

Nay

Aye with Reservations

Absent

Excused

Abstained

Mar 22, 2021 - floor Vote

S1413

floor

Aye

Nay

Absent

Excused

Abstained

Mar 1, 2021 - Insurance committee Vote

S1413

committee

Aye

Nay

Aye with Reservations

Absent

Excused

Abstained

Co-Sponsors

view additional co-sponsors

S1413 (ACTIVE) - Details

See Assembly Version of this Bill:: A2383
Current Committee:: Assembly Insurance
Law Section:: Insurance Law
Laws Affected:: Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in Other Legislative Sessions:: 2019-2020: S8255, A10821
2023-2024: S504, A4141

S1413 (ACTIVE) - Summary

Lowers the cost sharing cap for insulin from one hundred dollars to thirty dollars.

S1413 (ACTIVE) - Sponsor Memo

 
BILL NUMBER: S1413

SPONSOR: RIVERA
 
TITLE OF BILL:

An act to amend the insurance law, in relation to capping cost sharing
for insulin

 
PURPOSE:

To reduce the cap on cost sharing for insulin from the current $100 per
insulin per month to $30 per insulin per month.

 
SUMMARY OF PROVISIONS:

Sections 1 through 3 of the bill amend various sections of insurance law
which were amended as part DDD of Chapter 56 of the laws of 2020, the
adopted budget, to change the $100 limit on cost sharing for insulin to
a $30 limit on cost sharing for insulin.

Section 4 of the bill provides for an effective date.

 
JUSTIFICATION:

2.1 million New Yorkers have diabetes and 30% of type two diabetics are
insulin dependent. There are 20,000 hospitalizations in NY each year
with a principal diagnosis of diabetes related complications including
diabetic ketoacidosis.

Type 1 and some Type 2 diabetics depend upon insulin for their very
survival. In 2016, the average person with type 1 diabetes incurred
annual insulin costs of $5,705.00. While some pay less, many others pay
many times this amount. When patients can't afford insulin, which can
cost thousands of dollars even for those who are insured, they resort to
rationing the little medication they can afford. In fact, one study
found that one in four people with type 1 diabetics admitted to not
taking their insulin as prescribed, or rationing, due to the cost.
Complications from rationing insulin are extreme leading to amputations,
Diabetic KETOACIDOSIS, also referred to as DKA, and even death.

As part of the adopted 2020-21 state budget a cap on cost sharing was
adopted (Part DOD, Chapter 56 of 2020). However, unlike the legislation
which passed the Senate in 2019 (S 6497A) capping the cost of all insu-
lins a person needs per month at $100, the budget language capped cost
sharing per prescription. Given many diabetics rely on two or three
different types of insulin they may still have cost sharing of $300 per
month. This legislation changes the $100 cap to a $30 cap on each insu-
lin per month more in line with our original legislation.

A $30 cap on insulin is also in line with the caps other states are
pursuing and adopting to address access to affordable insulin. For exam-
ple, Utah recently adopted a $30 copay and states such as New Mexico,
Virginia, California, and Connecticut are all in various stages of pass-
ing and adopting copays that range from $25 to $50 per insulin. While
New York's new law capping insulin is an important first step, we must
truly make access to insulin affordable and reduce the copay to $30 per
insulin per month.

 
PRIOR LEGISLATIVE HISTORY:
2019-2020: S8255/A10821 Niou

 
FISCAL IMPLICATIONS:

No cost to the state.

 
EFFECTIVE DATE:
Immediately and shall apply to any policy or contract written or renewed
on or after January 1, 2022.

S1413 (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1413
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                             January 12, 2021
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed to the Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to capping  cost  sharing
   for insulin
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Subparagraph (B) of paragraph 15-a  of  subsection  (i)  of
 section  3216  of the insurance law, as amended by section 1 of part DDD
 of chapter 56 of the laws of 2020, is amended to read as follows:
   (B) Such coverage may be subject to annual deductibles and coinsurance
 as may be deemed appropriate by the superintendent and as are consistent
 with those  established  for  other  benefits  within  a  given  policy;
 provided  however, the total amount that a covered person is required to
 pay out of pocket for covered prescription insulin drugs shall be capped
 at an amount not to exceed [one hundred] THIRTY dollars  per  thirty-day
 supply,  regardless of the amount or type of insulin needed to fill such
 covered person's prescription and regardless of  the  insured's  deduct-
 ible, copayment, coinsurance or any other cost sharing requirement.
   § 2. Subparagraph (B) of paragraph 7 of subsection (k) of section 3221
 of  the insurance law, as amended by section 2 of part DDD of chapter 56
 of the laws of 2020, is amended to read as follows:
   (B) Such coverage may be subject to annual deductibles and coinsurance
 as may be deemed appropriate by the superintendent and as are consistent
 with those  established  for  other  benefits  within  a  given  policy;
 provided  however, the total amount that a covered person is required to
 pay out of pocket for covered prescription insulin drugs shall be capped
 at an amount not to exceed [one hundred] THIRTY dollars  per  thirty-day
 supply,  regardless of the amount or type of insulin needed to fill such
 covered person's prescription and regardless of  the  insured's  deduct-
 ible, copayment, coinsurance or any other cost sharing requirement.

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD04974-01-1

 S. 1413                             2
 
   §  3.  Paragraph  2 of subsection (u) of section 4303 of the insurance
 law, as amended by section 3 of part DDD of chapter 56 of  the  laws  of
 2020, is amended to read as follows:
   (2) Such coverage may be subject to annual deductibles and coinsurance
 as may be deemed appropriate by the superintendent and as are consistent
 with  those  established  for  other  benefits  within  a  given policy;
 provided however, the total amount that a covered person is required  to
 pay out of pocket for covered prescription insulin drugs shall be capped
 at  an  amount not to exceed [one hundred] THIRTY dollars per thirty-day
 supply, regardless of the amount or type of insulin needed to fill  such
 covered  person's  prescription  and regardless of the insured's deduct-
 ible, copayment, coinsurance or any other cost sharing requirement.
   § 4. This act shall take effect immediately and  shall  apply  to  any
 policy or contract issued or renewed on or after January 1, 2022.

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The New York State Senate

senate Bill S1413

Sponsored By

Archive: Last Bill Status - Passed Senate

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Votes

May 24, 2022 - floor Vote

Floor Vote: May 24, 2022

Feb 14, 2022 - Insurance committee Vote

Insurance Committee Vote: Feb 14, 2022

Mar 22, 2021 - floor Vote

Floor Vote: Mar 22, 2021

Mar 1, 2021 - Insurance committee Vote

Insurance Committee Vote: Mar 1, 2021

Co-Sponsors

S1413 (ACTIVE) - Details

S1413 (ACTIVE) - Summary

S1413 (ACTIVE) - Sponsor Memo

S1413 (ACTIVE) - Bill Text download pdf

Comments

senate Bill S1413

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Sponsored By

Archive: Last Bill Status - Passed Senate

Your Voice

Actions

Votes

May 24, 2022 - floor Vote

Floor Vote: May 24, 2022

Feb 14, 2022 - Insurance committee Vote

Insurance Committee Vote: Feb 14, 2022

Mar 22, 2021 - floor Vote

Floor Vote: Mar 22, 2021

Mar 1, 2021 - Insurance committee Vote

Insurance Committee Vote: Mar 1, 2021

Co-Sponsors

S1413 (ACTIVE) - Details

S1413 (ACTIVE) - Summary

S1413 (ACTIVE) - Sponsor Memo

S1413 (ACTIVE) - Bill Text download pdf

Comments