Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 05, 2022 |
referred to insurance |
Jan 15, 2021 |
referred to insurance |
Senate Bill S1768
2021-2022 Legislative Session
Sponsored By
(D) 42nd Senate District
Archive: Last Bill Status - In Senate Committee Insurance Committee
- 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
co-Sponsors
(D) 15th Senate District
(D, WF) 47th Senate District
(D) 50th Senate District
(R, C) Senate District
2021-S1768 (ACTIVE) - Details
2021-S1768 (ACTIVE) - Sponsor Memo
BILL NUMBER: S1768 SPONSOR: SKOUFIS TITLE OF BILL: An act to amend the insurance law, in relation to reducing pharmacy benefit manager costs PURPOSE: Provides for a pass-through pricing model for pharmacy benefit manager services SUMMARY OF PROVISIONS: This bill amends the Insurance Law to add a new section 3114. Section 1 of this bill amends the Insurance Law to add a new Section 3114, which provides that any contract or other arrangement entered into by a health insurer that provides for the provision and administration of pharmacy benefit management services shall be based on a pass-through
2021-S1768 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 1768 2021-2022 Regular Sessions I N S E N A T E January 15, 2021 ___________ Introduced by Sens. SKOUFIS, ADDABBO, HOYLMAN, MAY, 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 reducing pharmacy benefit manager costs 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 3114 to read as follows: § 3114. PHARMACY BENEFIT MANAGEMENT SERVICES. (A) ANY CONTRACT OR OTHER ARRANGEMENT ENTERED INTO BY A HEALTH INSURER OFFERING HEALTH INSURANCE UNDER ARTICLE THIRTY-TWO OR FORTY-THREE OF THIS CHAPTER FOR THE PROVISION AND ADMINISTRATION OF PHARMACY BENEFIT MANAGEMENT SERVICES SHALL BE BASED ON A PASS-THROUGH PRICING MODEL AND INCLUDE THE FOLLOWING REQUIREMENTS: (1) PAYMENT TO THE PHARMACY BENEFIT MANAGER FOR PHARMACY BENEFIT MANAGEMENT SERVICES SHALL BE LIMITED TO THE ACTUAL INGREDIENT COSTS, DISPENSING FEES PAID TO PHARMACIES, AND AN ADMINISTRATIVE FEE THAT COVERS THE COST OF PROVIDING PHARMACY BENEFIT MANAGEMENT SERVICES PURSU- ANT TO A CONTRACT DESCRIBED IN THIS SUBSECTION. THE DEPARTMENT MAY ESTABLISH A MAXIMUM ADMINISTRATIVE FEE; (2) THE PHARMACY BENEFIT MANAGER SHALL IDENTIFY ALL SOURCES AND AMOUNTS OF INCOME, PAYMENTS, AND FINANCIAL BENEFITS TO THE PHARMACY BENEFIT MANAGER RELATED TO THE PROVISION AND ADMINISTRATION OF PHARMACY BENEFIT MANAGEMENT SERVICES ON BEHALF OF THE HEALTH CARE PLAN, INCLUD- ING, BUT NOT LIMITED TO, ANY PRICING DISCOUNTS, REBATES OF ANY KIND, INFLATIONARY PAYMENTS, CREDITS, CLAWBACKS, FEES, GRANTS, CHARGEBACKS, REIMBURSEMENTS, OR OTHER BENEFITS AND SHALL ENSURE THAT ANY PORTION OF SUCH INCOME, PAYMENTS, AND FINANCIAL BENEFITS IS PASSED THROUGH TO THE HEALTH CARE PLAN IN FULL TO REDUCE THE REPORTABLE INGREDIENT COST; EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD01685-01-1
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.