Senate Bill S836

Signed By Governor
2023-2024 Legislative Session

Provides for patient prescription pricing transparency; repealer

download bill text pdf

Sponsored By

Current Bill Status Via A2200 - Signed by Governor


  • 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

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2023-S836 (ACTIVE) - Details

See Assembly Version of this Bill:
A2200
Law Section:
Insurance Law
Laws Affected:
Rpld §341-a, amd §§3217-a & 4324, Ins L (as proposed in S.4620-C & A.5411-D); amd §4408, Pub Health L

2023-S836 (ACTIVE) - Summary

Provides for patient prescription pricing transparency; requires certain insurers or pharmacy benefit managers to furnish required cost, benefit and coverage data upon request of the insured, the insured's health care provider or an authorized third party.

2023-S836 (ACTIVE) - Sponsor Memo

2023-S836 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    836
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                              January 6, 2023
                                ___________
 
 Introduced  by  Sen. BRESLIN -- read twice and ordered printed, and when
   printed to be committed to the Committee on Rules
 
 AN ACT to amend the insurance law and the public health law, in relation
   to patient prescription pricing transparency; and  to  repeal  certain
   provisions of the insurance law related thereto

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Subsection 341-a of the insurance law, as added by a  chap-
 ter  of the laws of 2022 amending the insurance law relating to enacting
 the "patient Rx information and choice expansion act",  as  proposed  in
 legislative bills numbers S. 4620-C and A. 5411-D, is REPEALED.
   §  2.  Section  3217-a of the insurance law is amended by adding a new
 subsection (g) to read as follows:
   (G) (1) AS USED IN THIS SUBSECTION:
   (A) "PHARMACY BENEFIT MANAGER" SHALL HAVE THE MEANINGS  SET  FORTH  IN
 SECTION TWO HUNDRED EIGHTY-A OF THE PUBLIC HEALTH LAW.
   (B) "COST-SHARING INFORMATION" MEANS THE AMOUNT AN INSURED IS REQUIRED
 TO  PAY  TO RECEIVE A DRUG THAT IS COVERED UNDER THE INSURED'S INSURANCE
 POLICY.
   (C) "COVERED/COVERAGE" MEANS THOSE HEALTH CARE SERVICES  TO  WHICH  AN
 INSURED IS ENTITLED UNDER THE TERMS OF THE INSURANCE POLICY.
   (D)  "ELECTRONIC HEALTH RECORD" MEANS A DIGITAL VERSION OF A PATIENT'S
 PAPER  CHART  AND  MEDICAL  HISTORY  THAT  MAKES  INFORMATION  AVAILABLE
 INSTANTLY AND SECURELY TO AUTHORIZED USERS.
   (E)  "ELECTRONIC PRESCRIBING SYSTEM" MEANS A SYSTEM THAT ENABLES PRES-
 CRIBERS TO ENTER PRESCRIPTION INFORMATION INTO A  COMPUTER  PRESCRIPTION
 DEVICE  AND  SECURELY  TRANSMIT  THE  PRESCRIPTION TO PHARMACIES USING A
 SPECIAL SOFTWARE PROGRAM AND CONNECTIVITY TO A TRANSMISSION NETWORK.
   (F) "ELECTRONIC PRESCRIPTION"  MEANS  AN  ELECTRONIC  PRESCRIPTION  AS
 DEFINED IN SECTION THIRTY-THREE HUNDRED TWO OF THE PUBLIC HEALTH LAW.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD04034-01-3
 S. 836                              2
              

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