S03510 Summary:

BILL NOS03510B
 
SAME ASSAME AS A05502-B
 
SPONSORMAZIARZ
 
COSPNSRBRESLIN, ADAMS, ADDABBO, AVELLA, BALL, BONACIC, DUANE, ESPAILLAT, GALLIVAN, GOLDEN, GRIFFO, GRISANTI, HANNON, HASSELL-THOMPSON, HUNTLEY, JOHNSON, KLEIN, KRUEGER, LANZA, LARKIN, LAVALLE, LIBOUS, MARCELLINO, MARTINS, MONTGOMERY, NOZZOLIO, OPPENHEIMER, PERALTA, PERKINS, RANZENHOFER, STAVISKY, ZELDIN
 
MLTSPNSR
 
Amd SS3216, 3221 & 4303, Ins L
 
Prohibits health insurers from requiring that the insured purchase prescribed drugs from a mail order pharmacy or pay a co-payment fee when such purchases are not made from a mail order pharmacy if a similar fee is not charged for drugs from a mail order pharmacy.
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S03510 Actions:

BILL NOS03510B
 
02/24/2011REFERRED TO INSURANCE
04/25/2011AMEND AND RECOMMIT TO INSURANCE
04/25/2011PRINT NUMBER 3510A
05/17/2011AMEND AND RECOMMIT TO INSURANCE
05/17/2011PRINT NUMBER 3510B
06/20/2011COMMITTEE DISCHARGED AND COMMITTED TO RULES
06/20/2011ORDERED TO THIRD READING CAL.1383
06/20/2011SUBSTITUTED BY A5502B
 A05502 AMEND=B Heastie (MS)
 02/22/2011referred to insurance
 04/25/2011amend and recommit to insurance
 04/25/2011print number 5502a
 05/17/2011amend and recommit to insurance
 05/17/2011print number 5502b
 05/24/2011reported
 05/26/2011advanced to third reading cal.462
 06/15/2011passed assembly
 06/15/2011delivered to senate
 06/15/2011REFERRED TO RULES
 06/20/2011SUBSTITUTED FOR S3510B
 06/20/20113RD READING CAL.1383
 06/20/2011PASSED SENATE
 06/20/2011RETURNED TO ASSEMBLY
 11/30/2011delivered to governor
 12/12/2011signed chap.597
 12/12/2011approval memo.14
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S03510 Floor Votes:

There are no votes for this bill in this legislative session.
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S03510 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         3510--B
 
                               2011-2012 Regular Sessions
 
                    IN SENATE
 
                                    February 24, 2011
                                       ___________
 
        Introduced  by  Sens.  MAZIARZ, BRESLIN, ADDABBO, AVELLA, BALL, BONACIC,
          DUANE, GALLIVAN, GOLDEN,  GRIFFO,  HANNON,  HUNTLEY,  JOHNSON,  KLEIN,
          KRUEGER,  KRUGER, LANZA, LARKIN, LAVALLE, LIBOUS, MARCELLINO, MARTINS,
          MONTGOMERY,  OPPENHEIMER,  PERALTA,  PERKINS,  RANZENHOFER,  STAVISKY,
          ZELDIN  --  read  twice  and  ordered  printed, and when printed to be

          committed to the Committee on Insurance -- committee discharged,  bill
          amended,  ordered reprinted as amended and recommitted to said commit-
          tee --  committee  discharged,  bill  amended,  ordered  reprinted  as
          amended and recommitted to said committee
 
        AN  ACT  to  amend  the  insurance  law,  in relation to the purchase of
          prescription drugs
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Subsection  (i)  of  section 3216 of the insurance law is
     2  amended by adding a new paragraph 28 to read as follows:
     3    (28) Any policy which provides coverage for prescription  drugs  shall
     4  permit  each participant to fill any mail order covered prescription, at
     5  his or her option, at any mail order pharmacy or  network  participating

     6  non-mail  order  retail  pharmacy  if the network participating non-mail
     7  order retail pharmacy offers to accept a price  that  is  comparable  to
     8  that  of the mail order pharmacy. Any policy which provides coverage for
     9  prescription drugs shall not impose a co-payment fee or other  condition
    10  on any insured who elects to purchase drugs from a network participating
    11  non-mail  order  retail  pharmacy  which is not also imposed on insureds
    12  electing to purchase  drugs  from  a  designated  mail  order  pharmacy;
    13  provided,  however, that the provisions of this section shall not super-
    14  sede the terms of a collective bargaining agreement or apply to a policy
    15  that is the result of  a  collective  bargaining  agreement  between  an

    16  employer and a recognized or certified employee organization.
    17    § 2. Subsection (1) of section 3221 of the insurance law is amended by
    18  adding a new paragraph 18 to read as follows:
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09145-07-1

        S. 3510--B                          2
 
     1    (18)  Any  insurer  delivering  a group or blanket policy or issuing a
     2  group or blanket policy for delivery in this state which provides cover-
     3  age for prescription drugs shall permit each  participant  to  fill  any
     4  mail order covered prescription, at his or her option, at any mail order

     5  pharmacy  or network participating non-mail order retail pharmacy if the
     6  network participating non-mail order retail pharmacy offers to accept  a
     7  price  that is comparable to that of the mail order pharmacy. Any policy
     8  which provides coverage  for  prescription  drugs  shall  not  impose  a
     9  co-payment  fee or other condition on any insured who elects to purchase
    10  drugs from a network participating non-mail order retail pharmacy  which
    11  is not also imposed on insureds electing to purchase drugs from a desig-
    12  nated  mail  order  pharmacy;  provided, however, that the provisions of
    13  this section shall not supersede the terms of  a  collective  bargaining
    14  agreement  or  apply  to  a  policy  that  is the result of a collective

    15  bargaining agreement between an employer and a recognized  or  certified
    16  employee organization.
    17    §  3.  Section  4303  of  the insurance law is amended by adding a new
    18  subsection (hh) to read as follows:
    19    (hh) Any policy issued by a medical expense indemnity  corporation,  a
    20  hospital  service  corporation  or  a  health services corporation which
    21  provides coverage for prescription drugs shall permit  each  participant
    22  to  fill  any  mail order covered prescription, at his or her option, at
    23  any mail order pharmacy or network participating non-mail  order  retail
    24  pharmacy  if  the  network  participating non-mail order retail pharmacy
    25  offers to accept a price that is comparable to that of  the  mail  order

    26  pharmacy.  Any  policy  which  provides  coverage for prescription drugs
    27  shall not impose a copayment fee or other condition on any  insured  who
    28  elects  to  purchase  drugs  from a network participating non-mail order
    29  retail pharmacy which is  not  also  imposed  on  insureds  electing  to
    30  purchase drugs from a designated mail order pharmacy; provided, however,
    31  that  the  provisions of this section shall not supersede the terms of a
    32  collective bargaining agreement or apply to a policy that is the  result
    33  of  a  collective  bargaining agreement between an employer and a recog-
    34  nized or certified employee organization.
    35    § 4.  If any clause, subparagraph, subsection, section or  other  part
    36  of  this  act,  or the   application thereof be held to be invalid, such

    37  holding shall not affect, impair or invalidate  the  remainder  of  this
    38  act, or the application of such section or part of a section held inval-
    39  id.
    40    §  5.  This  act shall take effect on the thirtieth day after it shall
    41  have become a law and shall apply to all policies and contracts  issued,
    42  renewed, modified, altered or amended on or after such effective date.
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