Requires the commissioner of health to produce a report on the utilization and activity of the elderly pharmaceutical insurance coverage program, including future enrollment and program cost projections, and to publish such report and deliver the report to the governor, the temporary president of the senate, and the speaker of the assembly.
STATE OF NEW YORK
________________________________________________________________________
8090
2025-2026 Regular Sessions
IN ASSEMBLY
April 25, 2025
___________
Introduced by M. of A. SEAWRIGHT -- read once and referred to the
Committee on Aging
AN ACT to amend the elder law, in relation to requiring the commissioner
of health to produce a report on the utilization and activity of the
elderly pharmaceutical insurance coverage program
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The elder law is amended by adding a new section 255 to
2 read as follows:
3 § 255. Report on the utilization and activity of the elderly pharma-
4 ceutical insurance coverage program. 1. The commissioner of health shall
5 produce a report on the utilization and activity of the elderly pharma-
6 ceutical insurance coverage program. Such report shall include, but not
7 be limited to, the following statistical information for each program
8 year from two thousand twenty-two through two thousand twenty-six:
9 (a) the number of persons enrolled in the program by marital status,
10 income level, and age;
11 (b) the total number of enrollees that receive an income-related
12 subsidy under section 1860D-14 of the federal social security act;
13 (c) the number of enrollees that qualify through their enrollment in
14 the medicare savings program; distribution of claims by pharmacy type;
15 (d) the number of participating provider pharmacies, recipients, and
16 payments by county;
17 (e) a summary of the administrative cost containment initiatives
18 completed during the year; and
19 (f) an evaluation of the performance of the program contractor or
20 contractors and of the cost effectiveness of all outreach efforts.
21 2. The report shall also include enrollment and program cost projec-
22 tions for the two thousand twenty-seven and two thousand twenty-eight
23 program years.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD11784-01-5
A. 8090 2
1 3. The report shall be published on the department of health website
2 and delivered to the governor, the temporary president of the senate,
3 and the speaker of the assembly, by January thirty-first, two thousand
4 twenty-seven.
5 § 2. This act shall take effect immediately.
