assembly Bill A1741A

Signed By Governor
2021-2022 Legislative Session

Relates to calculating an insured individual's overall contribution to any out-of-pocket maximum or any cost-sharing requirement

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Sponsored By

Archive: Last Bill Status - Signed by Governor


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed by Governor

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Actions

view actions (15)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Dec 23, 2022 approval memo.54
signed chap.736
Dec 12, 2022 delivered to governor
May 24, 2022 returned to assembly
passed senate
3rd reading cal.762
substituted for s5299a
May 18, 2022 referred to insurance
delivered to senate
passed assembly
May 05, 2022 amended on third reading 1741a
Jan 05, 2022 ordered to third reading cal.83
Apr 29, 2021 advanced to third reading cal.245
Apr 28, 2021 reported
Jan 11, 2021 referred to insurance

Co-Sponsors

view additional co-sponsors

A1741 - Details

See Senate Version of this Bill:
S5299
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
A8246, S6303

A1741 - Summary

Requires any third-party payments, financial assistance, discount, voucher or other price reduction instrument for out-of-pocket expenses made on behalf of an insured individual for the cost of prescription drugs to be applied to the insured's deductible, copayment, coinsurance, out-of-pocket maximum, or any other cost-sharing requirement when calculating such insured individual's overall contribution to any out-of-pocket maximum or any cost-sharing requirement.

A1741 - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1741
 
                        2021-2022 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 11, 2021
                                ___________
 
 Introduced  by  M.  of  A.  GOTTFRIED, ENGLEBRIGHT, COLTON, FAHY, SIMON,
   THIELE, DINOWITZ, McMAHON, OTIS, SEAWRIGHT,  WEPRIN,  DICKENS,  STERN,
   GRIFFIN,  GALEF,  ABINANTI,  MAGNARELLI,  DARLING  --  read  once  and
   referred to the Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to calculating an insured
   individual's overall contribution to any out-of-pocket maximum or  any
   cost-sharing requirement
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
 amended by adding a new paragraph 36 to read as follows:
   (36)  ANY  POLICY  THAT PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL
 APPLY ANY THIRD-PARTY PAYMENTS, FINANCIAL ASSISTANCE, DISCOUNT,  VOUCHER
 OR  OTHER  PRICE REDUCTION INSTRUMENT FOR OUT-OF-POCKET EXPENSES MADE ON
 BEHALF OF AN INSURED INDIVIDUAL FOR THE COST OF  PRESCRIPTION  DRUGS  TO
 THE INSURED'S DEDUCTIBLE, COPAYMENT, COINSURANCE, OUT-OF-POCKET MAXIMUM,
 OR  ANY  OTHER  COST-SHARING  REQUIREMENT  WHEN CALCULATING SUCH INSURED
 INDIVIDUAL'S OVERALL CONTRIBUTION TO ANY OUT-OF-POCKET  MAXIMUM  OR  ANY
 COST-SHARING REQUIREMENT.
   § 2. Subsection (l) of section 3221 of the insurance law is amended by
 adding a new paragraph 21 to read as follows:
   (21) EVERY GROUP OR BLANKET POLICY DELIVERED OR ISSUED FOR DELIVERY IN
 THIS STATE THAT PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL APPLY ANY
 THIRD-PARTY  PAYMENTS,  FINANCIAL ASSISTANCE, DISCOUNT, VOUCHER OR OTHER
 PRICE REDUCTION INSTRUMENT FOR OUT-OF-POCKET EXPENSES MADE ON BEHALF  OF
 AN  INSURED  INDIVIDUAL  FOR  THE  COST  OF  PRESCRIPTION  DRUGS  TO THE
 INSURED'S DEDUCTIBLE, COPAYMENT, COINSURANCE, OUT-OF-POCKET MAXIMUM,  OR
 ANY  OTHER  COST-SHARING REQUIREMENT WHEN CALCULATING SUCH INSURED INDI-
 VIDUAL'S OVERALL CONTRIBUTION TO ANY OUT-OF-POCKET MAXIMUM OR ANY  COST-
 SHARING REQUIREMENT.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD00472-01-1

Co-Sponsors

view additional co-sponsors

A1741A (ACTIVE) - Details

See Senate Version of this Bill:
S5299
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2019-2020 Legislative Session:
A8246, S6303

A1741A (ACTIVE) - Summary

Requires any third-party payments, financial assistance, discount, voucher or other price reduction instrument for out-of-pocket expenses made on behalf of an insured individual for the cost of prescription drugs to be applied to the insured's deductible, copayment, coinsurance, out-of-pocket maximum, or any other cost-sharing requirement when calculating such insured individual's overall contribution to any out-of-pocket maximum or any cost-sharing requirement.

A1741A (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  1741--A
                                                          Cal. No. 83
 
                        2021-2022 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 11, 2021
                                ___________
 
 Introduced  by  M.  of  A.  GOTTFRIED, ENGLEBRIGHT, COLTON, FAHY, SIMON,
   THIELE, DINOWITZ, McMAHON, OTIS, SEAWRIGHT,  WEPRIN,  DICKENS,  STERN,
   GRIFFIN,  GALEF,  ABINANTI,  MAGNARELLI,  DARLING,  ANDERSON, WOERNER,
   J. D. RIVERA,  JACOBSON,  L. ROSENTHAL,  McDONALD,  SOLAGES,   PAULIN,
   SAYEGH,  STECK, BURDICK, GUNTHER, MEEKS, GIBBS, WILLIAMS, JEAN-PIERRE,
   SILLITTI, FERNANDEZ, BURGOS, ZINERMAN,  FORREST,  ZEBROWSKI,  PRETLOW,
   SCHMITT, NORRIS, CYMBROWITZ -- read once and referred to the Committee
   on  Insurance  --  ordered  to  a  third  reading, amended and ordered
   reprinted, retaining its place on the order of third reading
 
 AN ACT to amend the insurance law, in relation to calculating an insured
   individual's overall contribution to any out-of-pocket maximum or  any
   cost-sharing requirement
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subsection (i) of section 3216  of  the  insurance  law  is
 amended by adding a new paragraph 37 to read as follows:
   (37)  ANY  POLICY  THAT PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL
 APPLY ANY THIRD-PARTY PAYMENTS, FINANCIAL ASSISTANCE, DISCOUNT,  VOUCHER
 OR  OTHER  PRICE REDUCTION INSTRUMENT FOR OUT-OF-POCKET EXPENSES MADE ON
 BEHALF OF AN INSURED INDIVIDUAL FOR THE COST OF  PRESCRIPTION  DRUGS  TO
 THE INSURED'S DEDUCTIBLE, COPAYMENT, COINSURANCE, OUT-OF-POCKET MAXIMUM,
 OR  ANY  OTHER  COST-SHARING  REQUIREMENT  WHEN CALCULATING SUCH INSURED
 INDIVIDUAL'S OVERALL CONTRIBUTION TO ANY OUT-OF-POCKET  MAXIMUM  OR  ANY
 COST-SHARING  REQUIREMENT.    IF  UNDER FEDERAL LAW, APPLICATION OF THIS
 REQUIREMENT WOULD RESULT IN HEALTH SAVINGS ACCOUNT  INELIGIBILITY  UNDER
 26 USC 223, THIS REQUIREMENT SHALL APPLY FOR HEALTH SAVINGS ACCOUNT-QUA-
 LIFIED  HIGH  DEDUCTIBLE  HEALTH PLANS WITH RESPECT TO THE DEDUCTIBLE OF
 SUCH A PLAN AFTER THE ENROLLEE  HAS  SATISFIED  THE  MINIMUM  DEDUCTIBLE
 UNDER  26 USC 223, EXCEPT FOR WITH RESPECT TO ITEMS OR SERVICES THAT ARE
 PREVENTIVE CARE PURSUANT TO 26  USC  223(C)(2)(C),  IN  WHICH  CASE  THE
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD00472-03-2