Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Mar 25, 2024 |
ordered to third reading cal.365 substituted for a1219a |
Mar 25, 2024 |
substituted by s1974a |
Mar 21, 2024 |
advanced to third reading cal.365 |
Mar 19, 2024 |
reported |
Jan 26, 2024 |
print number 1219a |
Jan 26, 2024 |
amend and recommit to labor |
Jan 03, 2024 |
referred to labor |
Jan 13, 2023 |
referred to labor |
Assembly Bill A1219A
2023-2024 Legislative Session
Sponsored By
BRONSON
Current Bill Status Via S1974 - On Floor Calendar
- 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
Votes
Bill Amendments
co-Sponsors
Michael Benedetto
Karl Brabenec
Andrew Hevesi
William Colton
2023-A1219 - Details
2023-A1219 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 1219 2023-2024 Regular Sessions I N A S S E M B L Y January 13, 2023 ___________ Introduced by M. of A. BRONSON, BENEDETTO, BRABENEC -- read once and referred to the Committee on Labor AN ACT to amend the workers' compensation law, in relation to contracted network pharmacy use THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph 5 of subdivision (i) of section 13 of the work- ers' compensation law, as added by chapter 6 of the laws of 2007, is amended to read as follows: (5) (I) Notwithstanding any other provision of this chapter, if an employer or carrier has contracted with a pharmacy to provide prescribed medicine to claimants, then such employer or carrier may [require] ENCOURAGE claimants to obtain all prescribed medicines from the pharmacy with which it has contracted[, except if a medical emergency occurs and it would not be reasonably possible to obtain immediately required prescribed medicine from the pharmacy with which the employer or carrier has a contract]. An employer or carrier that [requires] ENCOURAGES claimants to obtain prescribed medicines from a pharmacy with which it has a contract must notify claimants of the pharmacy or pharmacies with which it has a contract, the locations and addresses of the pharmacy or pharmacies, if applicable, how to initially fill and refill prescriptions through the mail, internet, telephone or other means, and any other required information that must be supplied to the pharmacy or pharmacies. [If the pharmacy or pharmacies with which the employer or carrier contracts does not offer mail order service and does not have a physical location within a reasonable distance from the claimant, as defined by regulation of the board, the claimant may obtain prescribed medicines at the pharmacy or pharmacies of his or her choice and the employer or carrier will be liable for such charges in accordance with the fee schedule prescribed in section thirteen-o of this chapter] WHEN AN EMPLOYER OR INSURANCE CARRIER FAILS TO PROVIDE REQUIRED ACCESS FOR EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD01454-01-3
co-Sponsors
Michael Benedetto
Karl Brabenec
Andrew Hevesi
William Colton
2023-A1219A (ACTIVE) - Details
2023-A1219A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 1219--A 2023-2024 Regular Sessions I N A S S E M B L Y January 13, 2023 ___________ Introduced by M. of A. BRONSON, BENEDETTO, BRABENEC, HEVESI, COLTON, DeSTEFANO, DURSO -- read once and referred to the Committee on Labor -- recommitted to the Committee on Labor in accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the workers' compensation law, in relation to contracted network pharmacy use THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision (i) of section 13 of the workers' compensation law is amended by adding a new paragraph 6 to read as follows: (6) (I) NOTWITHSTANDING PARAGRAPH FIVE OF THIS SUBDIVISION, A CLAIMANT SHALL NOT BE REQUIRED TO OBTAIN PRESCRIBED MEDICINES THROUGH A PHARMACY WITH WHICH THE EMPLOYER OR CARRIER HAS A CONTRACT AND MAY OBTAIN PRESCRIBED MEDICINES FROM A PHARMACY OF HIS OR HER CHOICE WHEN: (A) THE EMPLOYER OR INSURANCE CARRIER HAS REFUSED TO PROVIDE PAYMENT FOR THE CLAIMANT'S PRESCRIBED MEDICATION AND THE CLAIMANT IS UNABLE TO OBTAIN THE PRESCRIBED MEDICATION FROM A PHARMACY WITH WHICH THE EMPLOYER OR CARRIER HAS A CONTRACT DUE TO THE FAILURE TO AUTHORIZE SUCH PRESCRIBED MEDICATION WITHIN SEVENTY-TWO HOURS OF SUCH REQUEST; OR (B) THE PRESCRIBED MEDICATION IS SCHEDULED FOR REAUTHORIZATION BUT THE EMPLOYER OR CARRIER HAS FAILED TO REAUTHORIZE SUCH PRESCRIBED MEDICATION WITHIN SEVENTY-TWO HOURS OF THE REQUEST FOR ONE OR MORE OF THE FOLLOWING REASONS: (I) THE EMPLOYER, CARRIER, OR NETWORK PHARMACY FAILED TO RESPOND TO THE REAUTHORIZATION REQUEST; (II) MEDICAL REPORTS HAVE NOT YET BEEN FILED FOR REAUTHORIZATION, OR A FILED MEDICAL REPORT CONTAINS A DEFECT; (III) THE MEDICATION HAS BEEN AUTHORIZED PREVIOUSLY; HOWEVER THE EMPLOYER OR CARRIER DENIES REAUTHORIZATION ON THE BASIS THAT THE MEDICAL TREATMENT GUIDELINES DO NOT SUPPORT REAUTHORIZATION; EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD01454-02-4
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