A01741 Summary:

BILL NOA01741A
 
SAME ASSAME AS S05299-A
 
SPONSORGottfried
 
COSPNSREnglebright, Colton, Fahy, Simon, Thiele, Dinowitz, McMahon, Otis, Seawright, Weprin, Dickens, Stern, Griffin, Galef, Abinanti, Magnarelli, Darling, Anderson, Woerner, Rivera JD, Jacobson, Rosenthal L, McDonald, Solages, Paulin, Sayegh, Steck, Burdick, Gunther, Meeks, Gibbs, Williams, Jean-Pierre, Sillitti, Fernandez, Burgos, Zinerman, Forrest, Zebrowski, Pretlow, Schmitt, Norris, Cymbrowitz, Ramos, Burke, Joyner, Epstein, Hevesi, Lavine, Stirpe, Lunsford, Wallace, Byrne, Hunter, Lupardo
 
MLTSPNSR
 
Amd §§3216, 3221 & 4303, Ins L
 
Requires any third-party payments, financial assistance, discount, voucher or other price reduction instrument for out-of-pocket expenses made on behalf of an insured individual for the cost of prescription drugs to be applied to the insured's deductible, copayment, coinsurance, out-of-pocket maximum, or any other cost-sharing requirement when calculating such insured individual's overall contribution to any out-of-pocket maximum or any cost-sharing requirement.
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A01741 Actions:

BILL NOA01741A
 
01/11/2021referred to insurance
04/28/2021reported
04/29/2021advanced to third reading cal.245
01/05/2022ordered to third reading cal.83
05/05/2022amended on third reading 1741a
05/18/2022passed assembly
05/18/2022delivered to senate
05/18/2022REFERRED TO INSURANCE
05/24/2022SUBSTITUTED FOR S5299A
05/24/20223RD READING CAL.762
05/24/2022PASSED SENATE
05/24/2022RETURNED TO ASSEMBLY
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A01741 Committee Votes:

INSURANCE Chair:Cahill DATE:04/28/2021AYE/NAY:25/0 Action: Favorable
CahillAyeBlankenbushAye
CookAyeHawleyAye
PretlowAyeByrneAye
RiveraAyeSchmittAye
CymbrowitzAyePalmesanoAye
LavineAyeDiPietroAye
SteckAyeGandolfoAye
DilanAye
HunterAye
NiouAye
RosenthalAye
SternAye
McDonaldAye
JacobsonAye
WilliamsAye
MeeksAye
ForrestAye
AndersonAye

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A01741 Floor Votes:

DATE:05/18/2022Assembly Vote  YEA/NAY: 129/9
AbbateERClarkYFriendYKellesYOtisYSimpsonNO
AbinantiYColtonYFrontusYKimYPalmesanoYSmithY
AndersonYConradYGalefYLalorYPaulinYSmullenY
AngelinoYCookYGallagherYLavineYPeoples-StokesYSolagesY
AshbyYCruzYGallahanYLawlerYPheffer AmatoYSteckY
AubryYCunninghamYGandolfoYLemondesYPretlowYSternY
BarclayNOCusickYGibbsYLucasYQuartERStirpeY
BarnwellYCymbrowitzYGiglio JANOLunsfordYRaYTagueNO
BarrettYDarlingYGiglio JMERLupardoYRajkumarYTannousisY
BenedettoYDavilaYGlickYMagnarelliYRamosYTapiaY
BichotteYDe Los SantosYGonzalez-RojasYMamdaniYReillyYTaylorY
BlankenbushYDeStefanoYGoodellERManktelowNOReyesYThieleY
BrabenecYDickensYGottfriedYMcDonaldYRivera J YVanelY
BraunsteinYDilanERGriffinYMcDonoughYRivera JDYWalczykY
BronsonYDinowitzYGuntherYMcMahonYRosenthal D YWalkerY
Brown E YDiPietroNOHawleyNOMeeksYRosenthal L YWallaceER
Brown K YDursoYHevesiYMikulinYRozicYWalshY
BurdickYEichensteinYHunterYMillerYSalkaYWeinsteinY
BurgosYEnglebrightYHyndmanYMitaynesYSantabarbaraYWeprinY
BurkeEREpsteinYJacksonYMontesanoERSayeghYWilliamsY
ButtenschonYFahyYJacobsonYMorinelloYSchmittYWoernerY
ByrneERFallYJean-PierreYNiouYSeawrightYZebrowskiY
ByrnesYFernandezYJensenNONolanYSeptimoERZinermanY
CahillYFitzpatrickNOJonesYNorrisYSillittiYMr. SpeakerY
CarrollYForrestYJoynerYO'DonnellYSimonER

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A01741 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         1741--A
                                                                 Cal. No. 83
 
                               2021-2022 Regular Sessions
 
                   IN ASSEMBLY
 
                                    January 11, 2021
                                       ___________
 
        Introduced  by  M.  of  A.  GOTTFRIED, ENGLEBRIGHT, COLTON, FAHY, SIMON,
          THIELE, DINOWITZ, McMAHON, OTIS, SEAWRIGHT,  WEPRIN,  DICKENS,  STERN,
          GRIFFIN,  GALEF,  ABINANTI,  MAGNARELLI,  DARLING,  ANDERSON, WOERNER,
          J. D. RIVERA,  JACOBSON,  L. ROSENTHAL,  McDONALD,  SOLAGES,   PAULIN,
          SAYEGH,  STECK, BURDICK, GUNTHER, MEEKS, GIBBS, WILLIAMS, JEAN-PIERRE,
          SILLITTI, FERNANDEZ, BURGOS, ZINERMAN,  FORREST,  ZEBROWSKI,  PRETLOW,
          SCHMITT, NORRIS, CYMBROWITZ -- read once and referred to the Committee
          on  Insurance  --  ordered  to  a  third  reading, amended and ordered
          reprinted, retaining its place on the order of third reading
 
        AN ACT to amend the insurance law, in relation to calculating an insured
          individual's overall contribution to any out-of-pocket maximum or  any
          cost-sharing requirement
 
          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 37 to read as follows:
     3    (37)  Any  policy  that provides coverage for prescription drugs shall
     4  apply any third-party payments, financial assistance, discount,  voucher
     5  or  other  price reduction instrument for out-of-pocket expenses made on
     6  behalf of an insured individual for the cost of  prescription  drugs  to
     7  the insured's deductible, copayment, coinsurance, out-of-pocket maximum,
     8  or  any  other  cost-sharing  requirement  when calculating such insured
     9  individual's overall contribution to any out-of-pocket  maximum  or  any
    10  cost-sharing  requirement.    If  under federal law, application of this
    11  requirement would result in health savings account  ineligibility  under
    12  26 USC 223, this requirement shall apply for health savings account-qua-
    13  lified  high  deductible  health plans with respect to the deductible of
    14  such a plan after the enrollee  has  satisfied  the  minimum  deductible
    15  under  26 USC 223, except for with respect to items or services that are
    16  preventive care pursuant to 26  USC  223(c)(2)(C),  in  which  case  the
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00472-03-2

        A. 1741--A                          2
 
     1  requirements  of  this  paragraph  shall apply regardless of whether the
     2  minimum deductible under 26 USC 223 has been satisfied.
     3    § 2. Subsection (l) of section 3221 of the insurance law is amended by
     4  adding a new paragraph 21 to read as follows:
     5    (21) Every group or blanket policy delivered or issued for delivery in
     6  this state that provides coverage for prescription drugs shall apply any
     7  third-party  payments,  financial assistance, discount, voucher or other
     8  price reduction instrument for out-of-pocket expenses made on behalf  of
     9  an  insured  individual  for  the  cost  of  prescription  drugs  to the
    10  insured's deductible, copayment, coinsurance, out-of-pocket maximum,  or
    11  any  other  cost-sharing requirement when calculating such insured indi-
    12  vidual's overall contribution to any out-of-pocket maximum or any  cost-
    13  sharing requirement.  If under federal law, application of this require-
    14  ment  would  result in health savings account ineligibility under 26 USC
    15  223, this requirement shall apply for health  savings  account-qualified
    16  high  deductible  health  plans with respect to the deductible of such a
    17  plan after the enrollee has satisfied the minimum  deductible  under  26
    18  USC  223,  except for with respect to items or services that are preven-
    19  tive care pursuant to 26 USC 223(c)(2)(C), in which  case  the  require-
    20  ments  of  this  paragraph shall apply regardless of whether the minimum
    21  deductible under 26 USC 223 has been satisfied.
    22    § 3. Section 4303 of the insurance law is  amended  by  adding  a  new
    23  subsection (tt) to read as follows:
    24    (tt) Every contract issued by a medical expense indemnity corporation,
    25  hospital   service  corporation,  or  health  service  corporation  that
    26  provides coverage for prescription drugs  shall  apply  any  third-party
    27  payments,   financial  assistance,  discount,  voucher  or  other  price
    28  reduction instrument for out-of-pocket expenses made  on  behalf  of  an
    29  insured  individual for the cost of prescription drugs to  the insured's
    30  deductible,  copayment, coinsurance, out-of-pocket maximum, or any other
    31  cost-sharing requirement  when  calculating  such  insured  individual's
    32  overall  contribution  to  any out-of-pocket maximum or any cost-sharing
    33  requirement. If under federal law, application of this requirement would
    34  result  in  health  savings account ineligibility under 26 USC 223, this
    35  requirement shall apply for health savings account-qualified high deduc-
    36  tible health plans with respect to the deductible of such a  plan  after
    37  the  enrollee  has  satisfied  the  minimum deductible under 26 USC 223,
    38  except for with respect to items or services that  are  preventive  care
    39  pursuant  to 26 USC 223(c)(2)(C), in which case the requirements of this
    40  paragraph shall apply regardless of whether the minimum deductible under
    41  26 USC 223 has been satisfied.
    42    § 4. This act shall take effect on the first of January next  succeed-
    43  ing  the date on which it shall have become a law and shall apply to all
    44  policies and contracts issued, renewed, modified, altered or amended  on
    45  or after such date.
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