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S06323 Summary:

BILL NOS06323
 
SAME ASNo Same As
 
SPONSORSCARCELLA-SPANTON
 
COSPNSR
 
MLTSPNSR
 
Amd §367-a, Soc Serv L
 
Requires the amount paid to a pharmacy for certain high cost drugs be no more than 2.5% of the total cost of such drug plus any dispensing fees.
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S06323 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          6323
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                     March 10, 2025
                                       ___________
 
        Introduced  by Sen. SCARCELLA-SPANTON -- read twice and ordered printed,
          and when printed to be committed to the Committee on Health
 
        AN ACT to amend the social services law, in relation to determining  the
          amount paid to a pharmacy for certain high cost drugs
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Paragraph (b) of subdivision 9  of  section  367-a  of  the
     2  social services law is amended by adding a new subparagraph (iv) to read
     3  as follows:
     4    (iv)  notwithstanding subparagraphs (i) and (ii) of this paragraph and
     5  paragraph (e) of this subdivision, if the drug dispensed is a high  cost
     6  drug and has a national average drug acquisition cost set by the federal
     7  center  for  medicare  and  medicaid  services  in excess of six hundred
     8  seventy dollars, the actual  amount  paid  to  the  pharmacy,  plus  the
     9  reasonable  administrative  costs  as  determined by the commissioner of
    10  health, shall be no more than two and one-half percent of the total cost
    11  of such drug, together with any dispensing fee  authorized  under  para-
    12  graph (d) of this subdivision.
    13    §  2.  This act shall take effect immediately; provided, however, that
    14  the amendments to subdivision 9 of section 367-a of the social  services
    15  law  made  by section one of this act shall not affect the expiration of
    16  such subdivision and shall be deemed to expire therewith.
 
 
 
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10824-01-5
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