Assembly Actions - Lowercase Senate Actions - UPPERCASE |
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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 24, 2022 | substituted by a1741a |
May 05, 2022 | amended on third reading 5299a |
Apr 27, 2022 | advanced to third reading |
Apr 26, 2022 | 2nd report cal. |
Apr 25, 2022 | 1st report cal.762 |
Jan 05, 2022 | referred to insurance returned to senate died in assembly |
May 12, 2021 | referred to insurance delivered to assembly passed senate |
Mar 18, 2021 | advanced to third reading |
Mar 17, 2021 | 2nd report cal. |
Mar 16, 2021 | 1st report cal.576 |
Mar 01, 2021 | referred to insurance |
senate Bill S5299A
Signed By GovernorSponsored By
Gustavo Rivera
(D, WF) 33rd Senate District
Archive: Last Bill Status Via A1741 - Signed by Governor
- Introduced
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed by Governor
Your Voice
Actions
Votes
Bill Amendments
Co-Sponsors
Joseph P. Addabbo Jr
(D) 15th Senate District
Fred Akshar
(R, C, IP, RFM) 0 Senate District
John E. Brooks
(D) 0 Senate District
Jeremy A. Cooney
(D, WF) 56th Senate District
S5299 - Details
S5299 - 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.
S5299 - Sponsor Memo
BILL NUMBER: S5299 SPONSOR: RIVERA TITLE OF BILL: 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 PURPOSE OR GENERAL IDEA OF BILL: Requires insurance companies or pharmacy benefit managers to apply price reduction instruments for out-of-pocket expenses when calculating an insured individual's cost-sharing requirement. SUMMARY OF PROVISIONS: Section 1 requires any individual insurance policy that provides cover- age for prescription drugs to apply any third party payments or other price reduction instruments for out-of-pocket expenses made on behalf of an insured person when calculating the insured individuals overall
S5299 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5299 2021-2022 Regular Sessions I N S E N A T E March 1, 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 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. § 3. Section 4303 of the insurance law is amended by adding a new subsection (ss) to read as follows: EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD00472-01-1
Co-Sponsors
Joseph P. Addabbo Jr
(D) 15th Senate District
Fred Akshar
(R, C, IP, RFM) 0 Senate District
John E. Brooks
(D) 0 Senate District
Cordell Cleare
(D) 30th Senate District
S5299A (ACTIVE) - Details
S5299A (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.
S5299A (ACTIVE) - Sponsor Memo
BILL NUMBER: S5299A SPONSOR: RIVERA TITLE OF BILL: 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 PURPOSE OR GENERAL IDEA OF BILL: Requires insurance companies or pharmacy benefit managers to apply price reduction instruments for out-of-pocket expenses when calculating an insured individual's cost-sharing requirement. SUMMARY OF PROVISIONS: Section 1 requires any individual insurance policy that provides cover- age for prescription drugs to apply any third party payments or other price reduction instruments for out-of-pocket expenses made on behalf of an insured person when calculating the insured individuals overall contribution to any out-of-pocket maximum or cost-sharing requirement.
S5299A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5299--A Cal. No. 762 2021-2022 Regular Sessions I N S E N A T E March 1, 2021 ___________ Introduced by Sens. RIVERA, ADDABBO, AKSHAR, BROOKS, COONEY, HOYLMAN, JACKSON, KENNEDY, KRUEGER, SALAZAR, SKOUFIS -- read twice and ordered printed, and when printed to be committed to the Committee on Insur- ance -- recommitted to the Committee on Insurance in accordance with Senate Rule 6, sec. 8 -- reported favorably from said committee, ordered to first and second report, ordered to a third reading, amended and ordered reprinted, retaining its place in 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 REQUIREMENTS OF THIS PARAGRAPH SHALL APPLY REGARDLESS OF WHETHER THE MINIMUM DEDUCTIBLE UNDER 26 USC 223 HAS BEEN SATISFIED. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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