Senate Democratic Leader Malcolm A. Smith (D-St.Albans) along with Senate colleagues and health care advocates stood on the steps of New York City Hall announcing legislation to prevent health insurers from implementing the controversial Tier 4 prescription drug pricing system in New York. The pricing-plan dramatically increased co-payments in other states. (L-R) Democratic Senator's Liz Krueger (D-Manhattan), John Sabini (D-Queens), Efrain Gonzalez, Jr. (D-Bronx), John Sampson (D-Brooklyn), Malcolm A. Smith (D-St. Albans), Bill Perkins (D-Manhattan), Ruben Diaz (D-Bronx).