- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
A02317 Summary:
BILL NO | A02317C |
  | |
SAME AS | SAME AS S05022-C |
  | |
SPONSOR | Peoples-Stokes |
  | |
COSPNSR | Skoufis, Barrett, Niou, Ortiz, Sepulveda, Galef, Abinanti, Lavine, Colton, Jean-Pierre, Taylor, Byrne, Weprin, Seawright, Barron, Mosley, Lupardo |
  | |
MLTSPNSR | Englebright, Hevesi, Ra, Thiele |
  | |
Add §4909, Ins L; add §4909, Pub Health L | |
  | |
Prohibits a health care plan from making prescription drug formulary changes during a contract year. |
A02317 Actions:
BILL NO | A02317C | |||||||||||||||||||||||||||||||||||||||||||||||||
  | ||||||||||||||||||||||||||||||||||||||||||||||||||
01/17/2017 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
05/16/2017 | reported | |||||||||||||||||||||||||||||||||||||||||||||||||
05/18/2017 | advanced to third reading cal.390 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/14/2017 | amended on third reading (t) 2317a | |||||||||||||||||||||||||||||||||||||||||||||||||
06/20/2017 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
06/20/2017 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
06/20/2017 | REFERRED TO RULES | |||||||||||||||||||||||||||||||||||||||||||||||||
01/03/2018 | DIED IN SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
01/03/2018 | RETURNED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
01/03/2018 | ordered to third reading cal.171 | |||||||||||||||||||||||||||||||||||||||||||||||||
01/23/2018 | amended on third reading 2317b | |||||||||||||||||||||||||||||||||||||||||||||||||
02/06/2018 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
02/06/2018 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
02/06/2018 | REFERRED TO INSURANCE | |||||||||||||||||||||||||||||||||||||||||||||||||
04/17/2018 | recalled from senate | |||||||||||||||||||||||||||||||||||||||||||||||||
04/17/2018 | RETURNED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
04/17/2018 | vote reconsidered - restored to third reading | |||||||||||||||||||||||||||||||||||||||||||||||||
04/17/2018 | amended on third reading 2317c | |||||||||||||||||||||||||||||||||||||||||||||||||
04/30/2018 | repassed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
04/30/2018 | returned to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
04/30/2018 | RECOMMITTED TO INSURANCE |
A02317 Committee Votes:
Cahill | Aye | Barclay | Aye | ||||||
Cook | Aye | Butler | Aye | ||||||
Pretlow | Aye | Hawley | Aye | ||||||
Rivera | Excused | Blankenbush | Aye | ||||||
Peoples-Stokes | Aye | Curran | Aye | ||||||
Cymbrowitz | Aye | Walter | Aye | ||||||
Lavine | Aye | Garbarino | Aye | ||||||
Moya | Aye | ||||||||
Hevesi | Aye | ||||||||
Skoufis | Aye | ||||||||
Steck | Aye | ||||||||
Crespo | Aye | ||||||||
Joyner | Aye | ||||||||
Dilan | Aye | ||||||||
Hunter | Aye | ||||||||
Simotas | Aye | ||||||||
Walker | Aye | ||||||||
Niou | Aye | ||||||||
Go to top
A02317 Floor Votes:
Yes
Abbate
Yes
Crouch
Yes
Goodell
Yes
Lifton
Yes
O'Donnell
Yes
Sepulveda
Yes
Abinanti
Yes
Curran
Yes
Gottfried
Yes
Lopez
Yes
Ortiz
Yes
Simanowitz
Yes
Arroyo
Yes
Cusick
Yes
Graf
Yes
Lupardo
Yes
Otis
Yes
Simon
Yes
Aubry
Yes
Cymbrowitz
Yes
Gunther
Yes
Lupinacci
Yes
Palmesano
Yes
Simotas
Yes
Barclay
ER
Davila
Yes
Harris
Yes
Magee
Yes
Palumbo
Yes
Skartados
Yes
Barnwell
Yes
De La Rosa
Yes
Hawley
Yes
Magnarelli
Yes
Paulin
Yes
Skoufis
Yes
Barrett
Yes
DenDekker
Yes
Hevesi
Yes
Malliotakis
Yes
Pellegrino
Yes
Solages
Yes
Barron
ER
Dickens
ER
Hikind
Yes
Mayer
Yes
Peoples-Stokes
Yes
Stec
Yes
Benedetto
Yes
Dilan
Yes
Hooper
Yes
McDonald
Yes
Perry
Yes
Steck
Yes
Bichotte
Yes
Dinowitz
Yes
Hunter
Yes
McDonough
Yes
Pheffer Amato
Yes
Stirpe
Yes
Blake
Yes
DiPietro
Yes
Hyndman
Yes
McKevitt
Yes
Pichardo
Yes
Thiele
Yes
Blankenbush
Yes
D'Urso
Yes
Jaffee
Yes
McLaughlin
Yes
Pretlow
Yes
Titone
Yes
Brabenec
Yes
Englebright
Yes
Jean-Pierre
Yes
Miller B
ER
Quart
Yes
Titus
Yes
Braunstein
Yes
Errigo
Yes
Jenne
Yes
Miller MG
Yes
Ra
Yes
Vanel
Yes
Brindisi
Yes
Fahy
Yes
Johns
Yes
Miller ML
Yes
Raia
Yes
Walker
Yes
Bronson
Yes
Farrell
Yes
Jones
Yes
Montesano
Yes
Ramos
Yes
Wallace
Yes
Buchwald
Yes
Finch
Yes
Joyner
Yes
Morelle
Yes
Richardson
Yes
Walsh
Yes
Butler
Yes
Fitzpatrick
Yes
Kavanagh
Yes
Morinello
Yes
Rivera
Yes
Walter
Yes
Byrne
Yes
Friend
Yes
Kearns
Yes
Mosley
Yes
Rodriguez
Yes
Weinstein
Yes
Cahill
Yes
Galef
Yes
Kim
Yes
Moya
Yes
Rosenthal
Yes
Weprin
Yes
Carroll
ER
Gantt
Yes
Kolb
Yes
Murray
Yes
Rozic
Yes
Williams
Yes
Castorina
Yes
Garbarino
ER
Lalor
Yes
Niou
Yes
Ryan
Yes
Woerner
Yes
Colton
Yes
Giglio
Yes
Lavine
Yes
Nolan
Yes
Santabarbara
Yes
Wright
Yes
Cook
Yes
Gjonaj
Yes
Lawrence
Yes
Norris
Yes
Schimminger
Yes
Zebrowski
Yes
Crespo
Yes
Glick
Yes
Lentol
Yes
Oaks
Yes
Seawright
Yes
Mr. Speaker
‡ Indicates voting via videoconference
Yes
Abbate
Yes
Crouch
Yes
Gunther
Yes
Mayer
Yes
Pichardo
Yes
Taylor
Yes
Abinanti
Yes
Curran
ER
Harris
Yes
McDonald
Yes
Pretlow
Yes
Thiele
Yes
Arroyo
Yes
Cusick
Yes
Hawley
ER
McDonough
Yes
Quart
Yes
Titone
Yes
Aubry
Yes
Cymbrowitz
Yes
Hevesi
Yes
Miller B
Yes
Ra
Yes
Titus
Yes
Barclay
ER
Davila
ER
Hikind
Yes
Miller MG
Yes
Raia
Yes
Vanel
Yes
Barnwell
Yes
De La Rosa
Yes
Hooper
Yes
Miller ML
Yes
Ramos
Yes
Walker
Yes
Barrett
Yes
DenDekker
Yes
Hunter
Yes
Montesano
Yes
Richardson
Yes
Wallace
Yes
Barron
Yes
Dickens
Yes
Hyndman
Yes
Morelle
Yes
Rivera
Yes
Walsh
Yes
Benedetto
Yes
Dilan
Yes
Jaffee
Yes
Morinello
Yes
Rodriguez
Yes
Walter
Yes
Bichotte
Yes
Dinowitz
Yes
Jean-Pierre
Yes
Mosley
Yes
Rosenthal D
Yes
Weinstein
Yes
Blake
Yes
DiPietro
Yes
Jenne
Yes
Murray
ER
Rosenthal L
Yes
Weprin
Yes
Blankenbush
Yes
D'Urso
Yes
Johns
Yes
Niou
Yes
Rozic
Yes
Williams
Yes
Brabenec
Yes
Englebright
Yes
Jones
Yes
Nolan
Yes
Ryan
Yes
Woerner
Yes
Braunstein
Yes
Errigo
Yes
Joyner
Yes
Norris
Yes
Santabarbara
Yes
Wright
Yes
Brindisi
Yes
Fahy
Yes
Kim
Yes
Oaks
Yes
Schimminger
Yes
Zebrowski
Yes
Bronson
Yes
Finch
Yes
Kolb
Yes
O'Donnell
Yes
Seawright
Yes
Mr. Speaker
Yes
Buchwald
Yes
Fitzpatrick
Yes
Lalor
Yes
Ortiz
Yes
Sepulveda
Yes
Butler
Yes
Friend
Yes
Lavine
Yes
Otis
ER
Simon
Yes
Byrne
Yes
Galef
Yes
Lawrence
Yes
Palmesano
Yes
Simotas
Yes
Cahill
ER
Gantt
Yes
Lentol
Yes
Palumbo
Yes
Skartados
Yes
Carroll
Yes
Garbarino
Yes
Lifton
Yes
Paulin
Yes
Skoufis
Yes
Castorina
Yes
Giglio
Yes
Lupardo
Yes
Pellegrino
Yes
Solages
Yes
Colton
Yes
Glick
Yes
Magee
Yes
Peoples-Stokes
Yes
Stec
Yes
Cook
Yes
Goodell
Yes
Magnarelli
Yes
Perry
Yes
Steck
Yes
Crespo
Yes
Gottfried
Yes
Malliotakis
Yes
Pheffer Amato
Yes
Stirpe
‡ Indicates voting via videoconference
Yes
Abbate
Yes
Crouch
Yes
Gunther
Yes
McDonald
Yes
Pretlow
Yes
Titone
Yes
Abinanti
Yes
Curran
Yes
Hawley
Yes
McDonough
Yes
Quart
Yes
Titus
Yes
Arroyo
Yes
Cusick
Yes
Hevesi
Yes
Miller B
Yes
Ra
Yes
Vanel
Yes
Aubry
Yes
Cymbrowitz
ER
Hikind
ER
Miller MG
Yes
Raia
Yes
Walker
Yes
Barclay
Yes
Davila
Yes
Hooper
Yes
Miller ML
Yes
Ramos
Yes
Wallace
Yes
Barnwell
Yes
De La Rosa
Yes
Hunter
Yes
Montesano
Yes
Richardson
Yes
Walsh
Yes
Barrett
Yes
DenDekker
Yes
Hyndman
Yes
Morelle
Yes
Rivera
Yes
Walter
Yes
Barron
Yes
Dickens
Yes
Jaffee
Yes
Morinello
Yes
Rodriguez
Yes
Weinstein
Yes
Benedetto
Yes
Dilan
Yes
Jean-Pierre
Yes
Mosley
Yes
Rosenthal D
Yes
Weprin
Yes
Bichotte
Yes
Dinowitz
Yes
Jenne
Yes
Murray
Yes
Rosenthal L
Yes
Williams
Yes
Blake
Yes
DiPietro
Yes
Johns
Yes
Niou
Yes
Rozic
Yes
Woerner
Yes
Blankenbush
Yes
D'Urso
Yes
Jones
Yes
Nolan
Yes
Ryan
Yes
Wright
Yes
Brabenec
Yes
Englebright
Yes
Joyner
Yes
Norris
Yes
Santabarbara
Yes
Zebrowski
Yes
Braunstein
Yes
Errigo
Yes
Kim
Yes
Oaks
Yes
Schimminger
Yes
Mr. Speaker
Yes
Brindisi
Yes
Fahy
Yes
Kolb
Yes
O'Donnell
Yes
Seawright
ER
Bronson
Yes
Finch
ER
Lalor
Yes
Ortiz
Yes
Sepulveda
Yes
Buchwald
Yes
Fitzpatrick
Yes
Lavine
Yes
Otis
Yes
Simon
Yes
Butler
Yes
Friend
Yes
Lawrence
Yes
Palmesano
Yes
Simotas
Yes
Byrne
Yes
Galef
Yes
Lentol
Yes
Palumbo
Yes
Skoufis
Yes
Cahill
ER
Gantt
Yes
Lifton
Yes
Paulin
Yes
Solages
Yes
Carroll
Yes
Garbarino
Yes
Lupardo
Yes
Pellegrino
Yes
Stec
Yes
Castorina
Yes
Giglio
Yes
Magee
Yes
Peoples-Stokes
Yes
Steck
Yes
Colton
Yes
Glick
Yes
Magnarelli
Yes
Perry
Yes
Stirpe
Yes
Cook
Yes
Goodell
Yes
Malliotakis
Yes
Pheffer Amato
Yes
Taylor
Yes
Crespo
Yes
Gottfried
Yes
Mayer
Yes
Pichardo
Yes
Thiele
‡ Indicates voting via videoconference
Yes
Abbate
Yes
Crespo
Yes
Giglio
Yes
Magee
Yes
Peoples-Stokes
Yes
Steck
Yes
Abinanti
Yes
Crouch
Yes
Glick
Yes
Magnarelli
Yes
Perry
Yes
Stern
Yes
Arroyo
Yes
Curran
Yes
Goodell
Yes
Malliotakis
Yes
Pheffer Amato
Yes
Stirpe
Yes
Aubry
Yes
Cusick
Yes
Gottfried
Yes
McDonald
Yes
Pichardo
Yes
Taylor
Yes
Barclay
Yes
Cymbrowitz
Yes
Gunther
Yes
McDonough
Yes
Pretlow
Yes
Thiele
Yes
Barnwell
ER
Davila
Yes
Hawley
Yes
Mikulin
ER
Quart
Yes
Titone
Yes
Barrett
Yes
De La Rosa
Yes
Hevesi
Yes
Miller B
Yes
Ra
Yes
Titus
Yes
Barron
ER
DenDekker
Yes
Hikind
Yes
Miller MG
Yes
Raia
Yes
Vanel
Yes
Benedetto
Yes
Dickens
Yes
Hooper
Yes
Miller ML
Yes
Ramos
Yes
Walker
Yes
Bichotte
Yes
Dilan
Yes
Hunter
Yes
Montesano
Yes
Richardson
Yes
Wallace
Yes
Blake
Yes
Dinowitz
Yes
Hyndman
Yes
Morelle
Yes
Rivera
Yes
Walsh
Yes
Blankenbush
Yes
DiPietro
Yes
Jaffee
Yes
Morinello
Yes
Rodriguez
Yes
Walter
Yes
Bohen
Yes
D'Urso
Yes
Jean-Pierre
Yes
Mosley
Yes
Rosenthal D
Yes
Weinstein
Yes
Brabenec
Yes
Englebright
Yes
Jenne
Yes
Murray
Yes
Rosenthal L
ER
Weprin
Yes
Braunstein
Yes
Epstein
Yes
Johns
Yes
Niou
Yes
Rozic
Yes
Williams
Yes
Brindisi
Yes
Errigo
Yes
Jones
Yes
Nolan
Yes
Ryan
Yes
Woerner
Yes
Bronson
Yes
Espinal
Yes
Joyner
Yes
Norris
Yes
Santabarbara
Yes
Wright
Yes
Buchwald
Yes
Fahy
Yes
Kim
Yes
Oaks
Yes
Schimminger
Yes
Zebrowski
ER
Butler
Yes
Fernandez
ER
Kolb
Yes
O'Donnell
Yes
Seawright
Yes
Mr. Speaker
Yes
Byrne
Yes
Finch
Yes
Lalor
Yes
Ortiz
Yes
Simon
Yes
Cahill
Yes
Fitzpatrick
Yes
Lavine
Yes
Otis
Yes
Simotas
Yes
Carroll
Yes
Friend
Yes
Lawrence
ER
Palmesano
Yes
Skoufis
Yes
Castorina
Yes
Galef
Yes
Lentol
Yes
Palumbo
Yes
Smith
Yes
Colton
ER
Gantt
Yes
Lifton
ER
Paulin
Yes
Solages
Yes
Cook
Yes
Garbarino
Yes
Lupardo
Yes
Pellegrino
Yes
Stec
‡ Indicates voting via videoconference
A02317 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 2317--C Cal. No. 171 2017-2018 Regular Sessions IN ASSEMBLY January 17, 2017 ___________ Introduced by M. of A. PEOPLES-STOKES, SKOUFIS, BARRETT, NIOU, ORTIZ, SEPULVEDA, GALEF, ABINANTI, LAVINE, COLTON, JEAN-PIERRE, TAYLOR, BYRNE, WEPRIN -- Multi-Sponsored by -- M. of A. ENGLEBRIGHT, HEVESI, RA -- read once and referred to the Committee on Insurance -- reported from committee, advanced to a third reading, amended and ordered reprinted, retaining its place on the order of third reading -- ordered to a third reading, amended and ordered reprinted, retaining its place on the order of third reading -- passed by Assembly and delivered to the Senate, recalled from the Senate, vote reconsidered, bill amended, ordered reprinted, retaining its place on the order of third reading AN ACT to amend the insurance law and the public health law, in relation to prescription drug formulary changes during a contract year The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. The insurance law is amended by adding a new section 4909 2 to read as follows: 3 § 4909. Prescription drug formulary changes. (a) Except as otherwise 4 provided in subsection (c) of this section, a health care plan shall 5 not: 6 (i) remove a prescription drug from a formulary; 7 (ii) move a prescription drug to a tier with a larger deductible, 8 copayment, or coinsurance if the formulary includes two or more tiers of 9 benefits providing for different deductibles, copayments or coinsurance 10 applicable to the prescription drugs in each tier; or 11 (iii) add utilization management restrictions to a prescription drug 12 on a formulary, unless such changes occur at the time of enrollment or 13 issuance of coverage. 14 (b) Prohibitions provided in subsection (a) of this section shall 15 apply beginning on the date on which open enrollment begins for a plan EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD05529-11-8A. 2317--C 2 1 year and through the end of the plan year to which such open enrollment 2 period applies. 3 (c) (i) A health care plan with a formulary that includes two or more 4 tiers of benefits providing for different deductibles, copayments or 5 coinsurance applicable to prescription drugs in each tier may move a 6 prescription drug to a tier with a larger deductible, copayment or coin- 7 surance if an AB-rated generic equivalent or interchangeable biological 8 product for such prescription drug is added to the formulary at the same 9 time. 10 (ii) A health care plan may remove a prescription drug from a formu- 11 lary if the federal Food and Drug Administration determines that such 12 prescription drug should be removed from the market, including new 13 utilization management restrictions issued pursuant to federal Food and 14 Drug Administration safety concerns. 15 (d) A health care plan shall provide notice to policyholders of the 16 intent to remove a prescription drug from a formulary or alter deduct- 17 ible, copayment or coinsurance requirements in the upcoming plan year, 18 thirty days prior to the open enrollment period for the consecutive plan 19 year. Such notice of impending formulary and deductible, copayment or 20 coinsurance changes shall also be posted on the plan's online formulary 21 and in any prescription drug finder system that the plan provides to the 22 public. 23 § 2. The public health law is amended by adding a new section 4909 to 24 read as follows: 25 § 4909. Prescription drug formulary changes. 1. Except as otherwise 26 provided in subdivision three of this section, a health care plan shall 27 not: 28 (a) remove a prescription drug from a formulary; 29 (b) move a prescription drug to a tier with a larger deductible, 30 copayment, or coinsurance if the formulary includes two or more tiers of 31 benefits providing for different deductibles, copayments or coinsurance 32 applicable to the prescription drugs in each tier; or 33 (c) add utilization management restrictions to a prescription drug on 34 a formulary, unless such changes occur at the time of enrollment or 35 issuance of coverage. 36 2. Prohibitions provided in subdivision one of this section shall 37 apply beginning on the date on which open enrollment begins for a plan 38 year and through the end of the plan year to which such open enrollment 39 period applies. 40 3. (a) A health care plan with a formulary that includes two or more 41 tiers of benefits providing for different deductibles, copayments or 42 coinsurance applicable to prescription drugs in each tier may move a 43 prescription drug to a tier with a larger deductible, copayment or coin- 44 surance if an AB-rated generic equivalent or interchangeable biological 45 product for such prescription drug is added to the formulary at the same 46 time. 47 (b) A health care plan may remove a prescription drug from a formulary 48 if the federal Food and Drug Administration determines that such 49 prescription drug should be removed from the market, including new 50 utilization management restrictions issued pursuant to federal Food and 51 Drug Administration safety concerns. 52 4. A health care plan shall provide notice to policyholders of the 53 intent to remove a prescription drug from a formulary or alter deduct- 54 ible, copayment or coinsurance requirements in the upcoming plan year, 55 thirty days prior to the open enrollment period for the consecutive plan 56 year. Such notice of impending formulary and deductible, copayment orA. 2317--C 3 1 coinsurance changes shall also be posted on the plan's online formulary 2 and in any prescription drug finder system that the plan provides to the 3 public. 4 § 3. This act shall take effect on the sixtieth day after it shall 5 have become a law; provided, however, that effective immediately, the 6 addition, amendment and/or repeal of any rule or regulation necessary 7 for the implementation of this act on its effective date are authorized 8 to be made and completed by the superintendent of financial services on 9 or before such date.