A01741 Summary:

BILL NOA01741
 
SAME ASSAME AS S05299
 
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
 
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 NOA01741
 
01/11/2021referred to insurance
04/28/2021reported
04/29/2021advanced to third reading cal.245
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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:

There are no votes for this bill in this legislative session.
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A01741 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          1741
 
                               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  --  read  once  and
          referred to the Committee on Insurance
 
        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 36 to read as follows:
     3    (36)  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.
    11    § 2. Subsection (l) of section 3221 of the insurance law is amended by
    12  adding a new paragraph 21 to read as follows:
    13    (21) Every group or blanket policy delivered or issued for delivery in
    14  this state that provides coverage for prescription drugs shall apply any
    15  third-party  payments,  financial assistance, discount, voucher or other
    16  price reduction instrument for out-of-pocket expenses made on behalf  of
    17  an  insured  individual  for  the  cost  of  prescription  drugs  to the
    18  insured's deductible, copayment, coinsurance, out-of-pocket maximum,  or
    19  any  other  cost-sharing requirement when calculating such insured indi-
    20  vidual's overall contribution to any out-of-pocket maximum or any  cost-
    21  sharing requirement.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00472-01-1

        A. 1741                             2
 
     1    §  3.  Section  4303  of  the insurance law is amended by adding a new
     2  subsection (ss) to read as follows:
     3    (ss) Every contract issued by a medical expense indemnity corporation,
     4  hospital   service  corporation,  or  health  service  corporation  that
     5  provides coverage for prescription drugs  shall  apply  any  third-party
     6  payments,   financial  assistance,  discount,  voucher  or  other  price
     7  reduction instrument for out-of-pocket expenses made  on  behalf  of  an
     8  insured  individual  for the cost of prescription drugs to the insured's
     9  deductible, copayment, coinsurance, out-of-pocket maximum, or any  other
    10  cost-sharing  requirement  when  calculating  such  insured individual's
    11  overall contribution to any out-of-pocket maximum  or  any  cost-sharing
    12  requirement.
    13    §  4. This act shall take effect on the first of January next succeed-
    14  ing the date on which it shall have become a law and shall apply to  all
    15  policies  and contracts issued, renewed, modified, altered or amended on
    16  or after such date.
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