Relates to copayments for prescription drugs; provides that no corporation or insurer shall require, or enter into a contract which permits, a copayment which exceeds the total price paid to the pharmacy for such prescribed drug after the insured has met the annual deductible requirement.
STATE OF NEW YORK
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1792
2019-2020 Regular Sessions
IN SENATE
January 16, 2019
___________
Introduced by Sen. RIVERA -- read twice and ordered printed, and when
printed to be committed to the Committee on Insurance
AN ACT to amend the insurance law and the education law, in relation to
copayments for prescription drugs
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Subsection (h) of section 4325 of the insurance law, as
2 added by chapter 487 of the laws of 2010, is amended to read as follows:
3 (h) No corporation or insurer organized or licensed under this chapter
4 which provides coverage for prescription drugs shall require, or enter
5 into a contract which permits, a copayment which exceeds the usual and
6 customary cost of such prescribed drug or which exceeds the total price
7 paid to the pharmacy for such prescribed drug after the insured has met
8 the annual deductible requirement.
9 § 2. Section 6826-a of the education law is amended by adding a new
10 subdivision 3 to read as follows:
11 3. The copayment amount shall not exceed the total price paid to the
12 pharmacy for the prescribed drug, except in cases where the insured has
13 not met the annual deductible requirement.
14 § 3. This act shall take effect immediately.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD07751-01-9
