Assembly Bill A8975

2013-2014 Legislative Session

Provides for the insurance coverage of the synchronization of multiple prescriptions and dispensing fee standardization

download bill text pdf

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Archive: Last Bill Status - In Assembly Committee


  • 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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2013-A8975 (ACTIVE) - Details

See Senate Version of this Bill:
S6763
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Add §§3224-d & 4303-a, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A4036, S2809
2017-2018: A4306, S5196
2019-2020: A3009, S416, S4078

2013-A8975 (ACTIVE) - Summary

Provides for the insurance coverage of the synchronization of multiple prescriptions and dispensing fee standardization.

2013-A8975 (ACTIVE) - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

    S. 6763                                                  A. 8975

                      S E N A T E - A S S E M B L Y

                              March 6, 2014
                               ___________

IN SENATE -- Introduced by Sen. LANZA -- read twice and ordered printed,
  and when printed to be committed to the Committee on Insurance

IN ASSEMBLY -- Introduced by M. of A. QUART -- read once and referred to
  the Committee on Insurance

AN  ACT  to  amend  the insurance law, in relation to synchronization of
  multiple prescriptions and dispensing fee standardization

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. The insurance law is amended by adding a new section 3224-d
to read as follows:
  S  3224-D.  PRESCRIPTION SYNCHRONIZATION AND DISPENSING FEE STANDARDI-
ZATION. (A) EVERY INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY  PROVIDING
PRESCRIPTION DRUG COVERAGE SHALL PERMIT AND APPLY A PRO-RATED COST-SHAR-
ING  RATE  TO PRESCRIPTIONS THAT ARE DISPENSED BY A NETWORK PHARMACY FOR
LESS THAN A THIRTY DAY SUPPLY, IF THE PRESCRIBER OR PHARMACIST INDICATES
THAT THE FILL OR REFILL COULD BE IN THE BEST  INTEREST  OF  THE  COVERED
INDIVIDUAL  OR  IS FOR THE PURPOSE OF SYNCHRONIZING THE COVERED INDIVID-
UAL'S CHRONIC MEDICATIONS.
  (B)  NO  INDIVIDUAL  OR  GROUP  HEALTH  INSURANCE   POLICY   PROVIDING
PRESCRIPTION DRUG COVERAGE SHALL DENY COVERAGE FOR THE DISPENSING OF ANY
DRUG  PRESCRIBED  FOR THE TREATMENT OF A CHRONIC ILLNESS THAT IS MADE IN
ACCORDANCE WITH A PLAN  ESTABLISHED  AMONG  THE  COVERED  INDIVIDUAL,  A
HEALTH  CARE  PRACTITIONER AND A PHARMACIST TO SYNCHRONIZE THE REFILLING
OF MULTIPLE PRESCRIPTIONS FOR THE COVERED INDIVIDUAL.
  (C)  NO  INDIVIDUAL  OR  GROUP  HEALTH  INSURANCE   POLICY   PROVIDING
PRESCRIPTION  DRUG  COVERAGE  SHALL USE PAYMENT STRUCTURES INCORPORATING
PRO-RATED DISPENSING FEES DETERMINED BY CALCULATION OF THE DAYS'  SUPPLY
OF  MEDICATION  DISPENSED. DISPENSING FEES SHALL BE DETERMINED SOLELY ON
THE TOTAL NUMBER OF PRESCRIPTIONS DISPENSED.
  (D) NOTHING IN THIS SECTION SHALL BE DEEMED  TO  REQUIRE  HEALTH  CARE
PRACTITIONERS  AND  PHARMACISTS TO SYNCHRONIZE THE REFILLING OF MULTIPLE
PRESCRIPTIONS FOR A COVERED INDIVIDUAL.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD14035-03-4
              

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