Prohibits health insurers providing prescription drug coverage from reducing reimbursement, imposing a higher deductible or imposing a higher co-payment for 3 month supplies of drugs to treat or alleviate a chronic illness or condition.
Sponsor: Rivera P / Multi-sponsor(s): Pheffer / Co-sponsor(s): Stevenson, Calhoun
Law Section: Insurance Law / Law: Amd SS3216, 3221 & 4303, Ins L
Sponsor: Rivera P / Multi-sponsor(s): Pheffer / Co-sponsor(s): Stevenson, Calhoun
Law Section: Insurance Law / Law: Amd SS3216, 3221 & 4303, Ins L
A4275A-2011 Actions
- Sep 4, 2012: enacting clause stricken
- Jun 6, 2012: held for consideration in insurance
- May 15, 2012: reference changed to insurance
- May 3, 2012: print number 4275a
- May 3, 2012: amend (t) and recommit to health
- Jan 4, 2012: referred to health
- Feb 2, 2011: referred to health
A4275A-2011 Text
S T A T E O F N E W Y O R K
4275--A
2011-2012 Regular Sessions I N ASSEMBLY February 2, 2011
Introduced by M. of A. P. RIVERA, STEVENSON, CALHOUN -- read once and referred to the Committee on Health -- recommitted to the Committee on Health 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 insurance law, in relation to requiring insurers to provide coverage of a three month supply of drugs to treat chronic illnesses and conditions in the same manner coverage is provided for other prescriptions 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 29 to read as follows:
(29) NO POLICY WHICH PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL PROVIDE FOR A LOWER RATE OF REIMBURSEMENT, IMPOSE A HIGHER DEDUCTIBLE OR IMPOSE A HIGHER CO-PAYMENT FOR COVERAGE OF THE FILLING OF ANY PRESCRIPTION FOR A THREE MONTH SUPPLY OF ANY PRESCRIPTION DRUG PRESCRIBED TO TREAT OR ALLEVIATE ANY CHRONIC ILLNESS OR CONDITION DESIG NATED BY THE COMMISSIONER OF HEALTH AS AN ILLNESS OR CONDITION FOR WHICH A THREE MONTH SUPPLY OF DRUGS MAY BE PRESCRIBED.
S 2. Subsection (k) of section 3221 of the insurance law is amended by adding a new paragraph 18 to read as follows:
(18) NO POLICY WHICH PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL PROVIDE FOR A LOWER RATE OF REIMBURSEMENT, IMPOSE A HIGHER DEDUCTIBLE OR IMPOSE A HIGHER CO-PAYMENT FOR COVERAGE OF THE FILLING OF ANY PRESCRIPTION FOR A THREE MONTH SUPPLY OF ANY PRESCRIPTION DRUG PRESCRIBED TO TREAT OR ALLEVIATE ANY CHRONIC ILLNESS OR CONDITION DESIG NATED BY THE COMMISSIONER OF HEALTH AS AN ILLNESS OR CONDITION FOR WHICH A THREE MONTH SUPPLY OF DRUGS MAY BE PRESCRIBED.
S 3.
Section 4303 of the insurance law is amended by adding a new subsection (ii) to read as follows:
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD00028-02-2
A. 4275--A 2 (II) NO CONTRACT ISSUED BY A MEDICAL EXPENSE INDEMNITY CORPORATION, A HOSPITAL SERVICE CORPORATION OR A HEALTH SERVICE CORPORATION WHICH PROVIDES COVERAGE FOR PRESCRIPTION DRUGS SHALL PROVIDE FOR A LOWER RATE OF REIMBURSEMENT, IMPOSE A HIGHER DEDUCTIBLE OR IMPOSE A HIGHER CO-PAY MENT FOR COVERAGE OF THE FILLING OF ANY PRESCRIPTION FOR A THREE MONTH SUPPLY OF ANY PRESCRIPTION DRUG PRESCRIBED TO TREAT OR ALLEVIATE ANY CHRONIC ILLNESS OR CONDITION DESIGNATED BY THE COMMISSIONER OF HEALTH AS AN ILLNESS OR CONDITION FOR WHICH A THREE MONTH SUPPLY OF DRUGS MAY BE PRESCRIBED.
S 4. This act shall take effect on the one hundred eightieth day after it shall have become a law, and shall apply to policies issued, renewed or amended on or after such effective date.
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