- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
A03009 Summary:
BILL NO | A03009 |
  | |
SAME AS | SAME AS S04078 |
  | |
SPONSOR | Quart (MS) |
  | |
COSPNSR | Braunstein, Ryan, Fahy, Lavine, Hevesi, Steck, Aubry, Pretlow, Seawright, Weprin, Rivera, Cook, Barclay, Crespo, Cymbrowitz, Abinanti, Pheffer Amato, Garbarino, Solages, Raia, Galef, Peoples-Stokes, Stirpe, Otis, Cusick, McDonald, Griffin |
  | |
MLTSPNSR | Dilan, Perry |
  | |
Add §§3224-d & 4303-a, Ins L | |
  | |
Provides for the insurance coverage of the synchronization of multiple prescriptions. |
A03009 Actions:
BILL NO | A03009 | |||||||||||||||||||||||||||||||||||||||||||||||||
  | ||||||||||||||||||||||||||||||||||||||||||||||||||
01/28/2019 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
06/05/2019 | reported referred to rules | |||||||||||||||||||||||||||||||||||||||||||||||||
06/11/2019 | reported | |||||||||||||||||||||||||||||||||||||||||||||||||
06/11/2019 | rules report cal.108 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/11/2019 | ordered to third reading rules cal.108 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/13/2019 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
06/13/2019 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
06/13/2019 | REFERRED TO RULES | |||||||||||||||||||||||||||||||||||||||||||||||||
06/17/2019 | SUBSTITUTED FOR S4078 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/17/2019 | 3RD READING CAL.987 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/17/2019 | PASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
06/17/2019 | RETURNED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
12/10/2019 | delivered to governor | |||||||||||||||||||||||||||||||||||||||||||||||||
12/20/2019 | signed chap.691 |
A03009 Committee Votes:
Cahill | Aye | Garbarino | Aye | ||||||
Cook | Aye | Hawley | Aye | ||||||
Pretlow | Aye | Blankenbush | Aye | ||||||
Rivera | Aye | Finch | Aye | ||||||
Cymbrowitz | Aye | Raia | Aye | ||||||
Lavine | Aye | Palmesano | Aye | ||||||
Steck | Aye | Byrne | Aye | ||||||
Dilan | Aye | ||||||||
Hunter | Aye | ||||||||
Simotas | Aye | ||||||||
Walker | Aye | ||||||||
Niou | Aye | ||||||||
Rosenthal | Aye | ||||||||
Stern | Aye | ||||||||
McDonald | Aye | ||||||||
Romeo | Aye | ||||||||
Jacobson | Aye | ||||||||
Heastie | Excused | Kolb | Aye | ||||||
Gottfried | Aye | Crouch | Aye | ||||||
Lentol | Aye | Finch | Aye | ||||||
Gantt | Excused | Barclay | Aye | ||||||
Nolan | Aye | Raia | Aye | ||||||
Weinstein | Aye | Hawley | Aye | ||||||
Ortiz | Aye | Giglio | Aye | ||||||
Pretlow | Aye | Malliotakis | Aye | ||||||
Cook | Aye | ||||||||
Glick | Aye | ||||||||
Aubry | Aye | ||||||||
Englebright | Aye | ||||||||
Dinowitz | Aye | ||||||||
Colton | Aye | ||||||||
Magnarelli | Aye | ||||||||
Perry | Aye | ||||||||
Paulin | Aye | ||||||||
Titus | Excused | ||||||||
Peoples-Stokes | Excused | ||||||||
Benedetto | Aye | ||||||||
Lavine | Excused | ||||||||
Lupardo | Aye | ||||||||
Zebrowski | Excused | ||||||||
Go to top
A03009 Floor Votes:
Yes
Abbate
ER
Crespo
ER
Gantt
Yes
LiPetri
Yes
Perry
Yes
Simon
Yes
Abinanti
Yes
Crouch
Yes
Garbarino
Yes
Lupardo
Yes
Pheffer Amato
Yes
Simotas
Yes
Arroyo
Yes
Cruz
Yes
Giglio
Yes
Magnarelli
Yes
Pichardo
Yes
Smith
Yes
Ashby
Yes
Cusick
Yes
Glick
Yes
Malliotakis
Yes
Pretlow
Yes
Smullen
Yes
Aubry
Yes
Cymbrowitz
Yes
Goodell
Yes
Manktelow
Yes
Quart
Yes
Solages
Yes
Barclay
Yes
Davila
Yes
Gottfried
Yes
McDonald
Yes
Ra
Yes
Stec
Yes
Barnwell
Yes
De La Rosa
Yes
Griffin
Yes
McDonough
Yes
Raia
Yes
Steck
Yes
Barrett
Yes
DenDekker
Yes
Gunther
Yes
McMahon
Yes
Ramos
Yes
Stern
Yes
Barron
Yes
DeStefano
Yes
Hawley
Yes
Mikulin
Yes
Raynor
Yes
Stirpe
Yes
Benedetto
Yes
Dickens
Yes
Hevesi
Yes
Miller B
Yes
Reilly
Yes
Tague
Yes
Bichotte
Yes
Dilan
Yes
Hunter
Yes
Miller MG
Yes
Reyes
Yes
Taylor
Yes
Blake
Yes
Dinowitz
Yes
Hyndman
Yes
Miller ML
Yes
Richardson
Yes
Thiele
Yes
Blankenbush
Yes
DiPietro
Yes
Jacobson
Yes
Montesano
Yes
Rivera
Yes
Titus
Yes
Brabenec
Yes
D'Urso
Yes
Jaffee
Yes
Morinello
Yes
Rodriguez
Yes
Vanel
Yes
Braunstein
Yes
Eichenstein
Yes
Jean-Pierre
ER
Mosley
Yes
Romeo
Yes
Walczyk
Yes
Bronson
Yes
Englebright
Yes
Johns
Yes
Niou
Yes
Rosenthal D
Yes
Walker
Yes
Buchwald
Yes
Epstein
Yes
Jones
Yes
Nolan
Yes
Rosenthal L
Yes
Wallace
Yes
Burke
Yes
Fahy
Yes
Joyner
Yes
Norris
Yes
Rozic
Yes
Walsh
Yes
Buttenschon
Yes
Fall
Yes
Kim
Yes
O'Donnell
Yes
Ryan
Yes
Weinstein
Yes
Byrne
Yes
Fernandez
Yes
Kolb
Yes
Ortiz
Yes
Salka
Yes
Weprin
Yes
Byrnes
Yes
Finch
Yes
Lalor
Yes
Otis
Yes
Santabarbara
ER
Williams
Yes
Cahill
Yes
Fitzpatrick
Yes
Lavine
Yes
Palmesano
Yes
Sayegh
Yes
Woerner
Yes
Carroll
Yes
Friend
Yes
Lawrence
Yes
Palumbo
Yes
Schimminger
Yes
Wright
Yes
Colton
Yes
Frontus
Yes
Lentol
Yes
Paulin
Yes
Schmitt
Yes
Zebrowski
Yes
Cook
Yes
Galef
Yes
Lifton
Yes
Peoples-Stokes
Yes
Seawright
Yes
Mr. Speaker
‡ Indicates voting via videoconference
A03009 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 3009 2019-2020 Regular Sessions IN ASSEMBLY January 28, 2019 ___________ Introduced by M. of A. QUART, BRAUNSTEIN, RYAN, FAHY, LAVINE, HEVESI, STECK, AUBRY, PRETLOW, SEAWRIGHT, WEPRIN, RIVERA, COOK, BARCLAY, CRES- PO, CYMBROWITZ, ABINANTI, PHEFFER AMATO, GARBARINO, SOLAGES, RAIA, GALEF, PEOPLES-STOKES, STIRPE, OTIS, CUSICK -- Multi-Sponsored by -- M. of A. DILAN, PERRY -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to synchronization of multiple prescriptions 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 3224-d 2 to read as follows: 3 § 3224-d. Prescription synchronization. (a) Every individual or group 4 health insurance policy providing prescription drug coverage when appli- 5 cable to permit synchronization shall permit and apply a daily pro-rated 6 cost-sharing rate to prescriptions that are dispensed by a network phar- 7 macy for less than a thirty day supply, when it is agreed among the 8 covered individual, a health care practitioner, and a pharmacist that 9 synchronization of multiple prescriptions for the treatment of a chronic 10 illness is in the best interest of the covered individual for the 11 management or treatment of that chronic illness provided that all of the 12 following apply: 13 (i) The medications are covered by the policy or plan. 14 (ii) The medications are used for treatment and management of chronic 15 conditions that are subject to refills. 16 (iii) The medications are not a Schedule II controlled substance or a 17 Schedule III controlled substance containing hydrocodone. 18 (iv) The medications meet all prior authorization criteria specific to 19 medications at the time of the synchronization request. 20 (v) The medications are of a formulation that can be effectively split 21 over required short fill periods to achieve synchronization. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD01416-01-9A. 3009 2 1 (vi) The medications do not have quantity limits or dose optimization 2 criteria or requirements that would be violated in fulfilling synchroni- 3 zation. 4 (b) No individual or group health insurance policy providing 5 prescription drug coverage shall deny coverage for the dispensing of a 6 medication for partial fill when it is for purposes of synchronizing the 7 patient's medications. When applicable to permit synchronization, every 8 individual or group health insurance policy must allow a pharmacy to 9 override any denial codes indicating that a prescription is being 10 refilled too soon for the purposes of medication synchronization. 11 (c) Dispensing fees for partially filled or refilled prescriptions 12 shall be paid in full for each prescription dispensed, regardless of any 13 pro-rated copay for the beneficiary or fee paid for alignment services. 14 (d) Nothing in this section shall be deemed to require health care 15 practitioners and pharmacists to synchronize the refilling of multiple 16 prescriptions for a covered individual. 17 (e) The requirements of this paragraph shall apply only once for each 18 prescription drug subject to medication synchronization except when 19 either of the following occurs: 20 (i) The prescriber changes the dosage or frequency of administration 21 of the prescription drug subject to a medication synchronization; or 22 (ii) The prescriber prescribes a different drug. 23 § 2. The insurance law is amended by adding a new section 4303-a to 24 read as follows: 25 § 4303-a. Prescription synchronization. (a) Every hospital service 26 corporation and health service corporation providing prescription drug 27 coverage when applicable to permit synchronization shall permit and 28 apply a daily pro-rated cost-sharing rate to prescriptions that are 29 dispensed by a network pharmacy for less than a thirty day supply, when 30 it is agreed among the covered individual, a health care practitioner, 31 and a pharmacist that synchronization of multiple prescriptions for the 32 treatment of a chronic illness is in the best interest of the covered 33 individual for the management or treatment of that chronic illness 34 provided that all of the following apply: 35 (i) The medications are covered by the policy or plan. 36 (ii) The medications are used for treatment and management of chronic 37 conditions that are subject to refills. 38 (iii) The medications are not a Schedule II controlled substance or a 39 Schedule III controlled substance containing hydrocodone. 40 (iv) The medications meet all prior authorization criteria specific to 41 medications at the time of the synchronization request. 42 (v) The medications are of a formulation that can be effectively split 43 over required short fill periods to achieve synchronization. 44 (vi) The medications do not have quantity limits or dose optimization 45 criteria or requirements that would be violated in fulfilling synchroni- 46 zation. 47 (b) No hospital service corporation or health service corporation 48 providing prescription drug coverage shall deny coverage for the 49 dispensing of a medication for partial fill when it is for purposes of 50 synchronizing the patient's medications. When applicable to permit 51 synchronization, every hospital service corporation or health service 52 corporation providing prescription drug coverage must allow a pharmacy 53 to override any denial codes indicating that a prescription is being 54 refilled too soon for the purposes of medication synchronization.A. 3009 3 1 (c) Dispensing fees for partially filled or refilled prescriptions 2 shall be paid in full for each prescription dispensed, regardless of any 3 pro-rated copay for the beneficiary or fee paid for alignment services. 4 (d) Nothing in this section shall be deemed to require health care 5 practitioners and pharmacists to synchronize the refilling of multiple 6 prescriptions for a covered individual. 7 (e) The requirements of this paragraph shall apply only once for each 8 prescription drug subject to medication synchronization except when 9 either of the following occurs: 10 (i) The prescriber changes the dosage or frequency of administration 11 of the prescription drug subject to a medication synchronization; or 12 (ii) The prescriber prescribes a different drug. 13 § 3. This act shall take effect on the first of January, 2020, and 14 shall apply to all policies and contracts issued, renewed, modified, 15 altered or amended on or after such date.