- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
A03043 Summary:
BILL NO | A03043 |
  | |
SAME AS | No Same As |
  | |
SPONSOR | Joyner (MS) |
  | |
COSPNSR | Aubry, Blake, Buchwald, Cusick, Cymbrowitz, Dinowitz, Galef, Gottfried, Gunther, Hevesi, Jaffee, Lavine, Paulin, Perry, Rodriguez, Rosenthal L, Simon, Thiele, Zebrowski, Colton, Cook, Ortiz, Montesano, Glick, Carroll, D'Urso, Crespo, Simotas, Woerner, Taylor, Steck, Mosley, Otis, Finch, Blankenbush, Benedetto, McDonald, Jacobson, Crouch, DeStefano |
  | |
MLTSPNSR | Braunstein, Englebright, Nolan |
  | |
Amd §§3216, 3221 & 4303, Ins L | |
  | |
Relates to the purchase of prescription drugs. |
A03043 Actions:
BILL NO | A03043 | |||||||||||||||||||||||||||||||||||||||||||||||||
  | ||||||||||||||||||||||||||||||||||||||||||||||||||
01/28/2019 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
04/09/2019 | reported referred to codes | |||||||||||||||||||||||||||||||||||||||||||||||||
04/30/2019 | reported | |||||||||||||||||||||||||||||||||||||||||||||||||
05/02/2019 | advanced to third reading cal.235 | |||||||||||||||||||||||||||||||||||||||||||||||||
05/06/2019 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
05/06/2019 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
05/06/2019 | REFERRED TO INSURANCE | |||||||||||||||||||||||||||||||||||||||||||||||||
01/08/2020 | DIED IN SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
01/08/2020 | RETURNED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
01/08/2020 | ordered to third reading cal.125 | |||||||||||||||||||||||||||||||||||||||||||||||||
01/15/2020 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
01/15/2020 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
01/15/2020 | REFERRED TO INSURANCE |
A03043 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 | Nay | ||||||
Dilan | Aye | ||||||||
Hunter | Aye | ||||||||
Simotas | Aye | ||||||||
Walker | Aye | ||||||||
Niou | Aye | ||||||||
Rosenthal | Aye | ||||||||
Stern | Aye | ||||||||
McDonald | Aye | ||||||||
Romeo | Aye | ||||||||
Jacobson | Aye | ||||||||
Lentol | Aye | Ra | Aye | ||||||
Schimminger | Aye | Giglio | Aye | ||||||
Pretlow | Aye | Montesano | Aye | ||||||
Cook | Aye | Morinello | Aye | ||||||
Cymbrowitz | Aye | Palumbo | Aye | ||||||
O'Donnell | Excused | Garbarino | Aye | ||||||
Lavine | Aye | ||||||||
Perry | Aye | ||||||||
Zebrowski | Excused | ||||||||
Abinanti | Aye | ||||||||
Weprin | Aye | ||||||||
Mosley | Aye | ||||||||
Hevesi | Aye | ||||||||
Fahy | Aye | ||||||||
Seawright | Aye | ||||||||
Rosenthal | Aye | ||||||||
Go to top
A03043 Floor Votes:
Yes
Abbate
Yes
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
ER
Hevesi
Yes
Miller B
Yes
Reilly
Yes
Tague
ER
Bichotte
Yes
Dilan
Yes
Hunter
Yes
Miller MG
Yes
Reyes
Yes
Taylor
Yes
Blake
Yes
Dinowitz
Yes
Hyndman
ER
Miller ML
Yes
Richardson
Yes
Thiele
Yes
Blankenbush
Yes
DiPietro
Yes
Jacobson
Yes
Montesano
ER
Rivera
ER
Titus
Yes
Brabenec
Yes
D'Urso
Yes
Jaffee
Yes
Morinello
Yes
Rodriguez
Yes
Vanel
Yes
Braunstein
Yes
Eichenstein
Yes
Jean-Pierre
Yes
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
ER
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
ER
Ortiz
Yes
Salka
Yes
Weprin
Yes
Byrnes
Yes
Finch
Yes
Lalor
Yes
Otis
Yes
Santabarbara
Yes
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
ER
Abbate
ER
Crespo
Yes
Frontus
Yes
Lentol
Yes
Paulin
Yes
Simon
Yes
Abinanti
Yes
Crouch
Yes
Galef
Yes
Lifton
Yes
Peoples-Stokes
Yes
Simotas
ER
Arroyo
Yes
Cruz
ER
Gantt
Yes
LiPetri
Yes
Perry
Yes
Smith
Yes
Ashby
Yes
Cusick
Yes
Garbarino
Yes
Lupardo
Yes
Pheffer Amato
ER
Smullen
Yes
Aubry
Yes
Cymbrowitz
Yes
Giglio
Yes
Magnarelli
Yes
Pichardo
Yes
Solages
Yes
Barclay
Yes
Darling
Yes
Glick
Yes
Malliotakis
Yes
Pretlow
Yes
Stec
Yes
Barnwell
Yes
Raynor
Yes
Goodell
Yes
Manktelow
Yes
Quart
Yes
Steck
Yes
Barrett
ER
Davila
Yes
Gottfried
Yes
McDonald
Yes
Ra
Yes
Stern
Yes
Barron
Yes
De La Rosa
Yes
Griffin
ER
McDonough
Yes
Ramos
ER
Stirpe
Yes
Benedetto
Yes
DenDekker
Yes
Gunther
Yes
McMahon
Yes
Reilly
Yes
Tague
ER
Bichotte
Yes
DeStefano
Yes
Hawley
Yes
Mikulin
Yes
Reyes
Yes
Taylor
Yes
Blake
Yes
Dickens
Yes
Hevesi
Yes
Miller B
Yes
Richardson
Yes
Thiele
Yes
Blankenbush
Yes
Dilan
Yes
Hunter
Yes
Miller MG
Yes
Rivera
Yes
Vanel
Yes
Brabenec
Yes
Dinowitz
Yes
Hyndman
Yes
Miller ML
Yes
Rodriguez
Yes
Walczyk
Yes
Braunstein
Yes
DiPietro
Yes
Jacobson
Yes
Montesano
ER
Romeo
Yes
Walker
Yes
Bronson
Yes
D'Urso
Yes
Jaffee
Yes
Morinello
Yes
Rosenthal D
Yes
Wallace
Yes
Buchwald
Yes
Eichenstein
Yes
Jean-Pierre
Yes
Mosley
Yes
Rosenthal L
Yes
Walsh
Yes
Burke
Yes
Englebright
Yes
Johns
Yes
Niou
Yes
Rozic
Yes
Weinstein
Yes
Buttenschon
Yes
Epstein
Yes
Jones
Yes
Nolan
Yes
Ryan
Yes
Weprin
Yes
Byrne
Yes
Fahy
Yes
Joyner
Yes
Norris
Yes
Salka
Yes
Williams
Yes
Byrnes
Yes
Fall
Yes
Kim
Yes
O'Donnell
Yes
Santabarbara
Yes
Woerner
Yes
Cahill
Yes
Fernandez
ER
Kolb
Yes
Ortiz
Yes
Sayegh
Yes
Wright
Yes
Carroll
Yes
Finch
Yes
Lalor
Yes
Otis
ER
Schimminger
Yes
Zebrowski
Yes
Colton
Yes
Fitzpatrick
Yes
Lavine
Yes
Palmesano
Yes
Schmitt
Yes
Mr. Speaker
Yes
Cook
Yes
Friend
Yes
Lawrence
Yes
Palumbo
Yes
Seawright
‡ Indicates voting via videoconference
A03043 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 3043 2019-2020 Regular Sessions IN ASSEMBLY January 28, 2019 ___________ Introduced by M. of A. JOYNER, AUBRY, BLAKE, BUCHWALD, CUSICK, CYMBROW- ITZ, DINOWITZ, GALEF, GOTTFRIED, GUNTHER, HEVESI, JAFFEE, LAVINE, PAULIN, PERRY, RODRIGUEZ, L. ROSENTHAL, SIMON, THIELE, ZEBROWSKI, COLTON, COOK, ORTIZ, MONTESANO, GLICK, CARROLL, D'URSO, CRESPO, SIMO- TAS, WOERNER, TAYLOR, STECK, MOSLEY -- Multi-Sponsored by -- M. of A. BRAUNSTEIN, CROUCH, NOLAN -- read once and referred to the Committee on Insurance AN ACT to amend the insurance law, in relation to the purchase of prescription drugs The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Paragraph 28 of subsection (i) of section 3216 of the 2 insurance law, as amended by chapter 11 of the laws of 2012, is amended 3 to read as follows: 4 (28) (A) Definitions. For the purpose of this paragraph: 5 (1) "Same reimbursement amount" shall mean that any coverage described 6 under subparagraph (B) of this paragraph shall provide the same bench- 7 mark index, including the same average wholesale price, maximum allow- 8 able cost and national prescription drug codes to reimburse all pharma- 9 cies participating in the insurance network regardless of whether a 10 pharmacy is a mail order pharmacy or a non-mail order pharmacy. 11 (2) "Mail order pharmacy" means a pharmacy whose primary business is 12 to receive prescriptions by mail, telefax or through electronic 13 submissions and to dispense medication to patients through the use of 14 the United States mail or other common or contract carrier services and 15 provides any consultation with patients electronically rather than face- 16 to-face. 17 (B) Any policy that provides coverage for prescription drugs shall 18 permit each insured to fill any covered prescription that may be 19 obtained at a network participating mail order or other non-retail phar- 20 macy, at the insured's option, at a network participating non-mail order EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD00271-01-9A. 3043 2 1 retail pharmacy provided that the network participating non-mail order 2 retail pharmacy agrees [in advance, through a contractual network agree-3ment,] to the same reimbursement amount[, as well as the same applicable4terms and conditions,] that the insurer has established for the network 5 participating mail order or other non-retail pharmacy. In such a case, 6 the policy shall not impose a co-payment fee or other condition on any 7 insured who elects to purchase prescription drugs from a network partic- 8 ipating non-mail order retail pharmacy which is not also imposed on 9 insureds electing to purchase drugs from a network participating mail 10 order or other non-retail pharmacy. 11 § 2. Paragraph 18 of subsection (l) of section 3221 of the insurance 12 law, as amended by chapter 11 of the laws of 2012, is amended to read as 13 follows: 14 (18) (A) Definitions. For the purpose of this paragraph: 15 (1) "Same reimbursement amount" shall mean that any coverage described 16 under subparagraph (B) of this paragraph shall provide the same bench- 17 mark index, including the same average wholesale price, maximum allow- 18 able cost and national prescription drug codes to reimburse all pharma- 19 cies participating in the insurance network regardless of whether a 20 pharmacy is a mail order pharmacy or a non-mail order pharmacy. 21 (2) "Mail order pharmacy" means a pharmacy whose primary business is 22 to receive prescriptions by mail, telefax or through electronic 23 submissions and to dispense medication to patients through the use of 24 the United States mail or other common or contract carrier services and 25 provides any consultation with patients electronically rather than face- 26 to-face. 27 (B) Any insurer delivering a group or blanket policy or issuing a 28 group or blanket policy for delivery in this state that provides cover- 29 age for prescription drugs shall permit each insured to fill any covered 30 prescription that may be obtained at a network participating mail order 31 or other non-retail pharmacy, at the insured's option, at a network 32 participating non-mail order retail pharmacy provided that the network 33 participating non-mail order retail pharmacy agrees [in advance, through34a contractual network agreement,] to the same reimbursement amount[, as35well as the same applicable terms and conditions,] that the insurer has 36 established for the network participating mail order or other non-retail 37 pharmacy. In such a case, the policy shall not impose a co-payment fee 38 or other condition on any insured who elects to purchase drugs from a 39 network participating non-mail order retail pharmacy which is not also 40 imposed on insureds electing to purchase drugs from a network partic- 41 ipating mail order or other non-retail pharmacy; provided, however, that 42 the provisions of this section shall not supersede the terms of a 43 collective bargaining agreement or apply to a policy that is the result 44 of a collective bargaining agreement between an employer and a recog- 45 nized or certified employee organization. 46 § 3. Subsection (kk) of section 4303 of the insurance law, as amended 47 by chapter 11 of the laws of 2012 and as relettered by section 55 of 48 part D of chapter 56 of the laws of 2013, is amended to read as follows: 49 (kk) (1) Definitions. For the purpose of this subsection: 50 (A) "Same reimbursement amount" shall mean that any coverage described 51 under paragraph two of this subsection shall provide the same benchmark 52 index, including the same average wholesale price, maximum allowable 53 cost and national prescription drug codes to reimburse all pharmacies 54 participating in the health benefit plan regardless of whether a pharma- 55 cy is a mail order pharmacy or a non-mail order pharmacy.A. 3043 3 1 (B) "Mail order pharmacy" means a pharmacy whose primary business is 2 to receive prescriptions by mail, telefax or through electronic 3 submissions and to dispense medication to patients through the use of 4 the United States mail or other common or contract carrier services and 5 provides any consultation with patients electronically rather than face- 6 to-face. 7 (2) Any contract issued by a medical expense indemnity corporation, a 8 hospital service corporation or a health services corporation that 9 provides coverage for prescription drugs shall permit each covered 10 person to fill any covered prescription that may be obtained at a 11 network participating mail order or other non-retail pharmacy, at the 12 covered person's option, at a network participating non-mail order 13 retail pharmacy provided that the network participating non-mail order 14 retail pharmacy agrees [in advance, through a contractual network agree-15ment,] to the same reimbursement amount[, as well as the same applicable16terms and conditions,] that the corporation has established for the 17 network participating mail order or other non-retail pharmacy. In such 18 a case, the contract shall not impose a copayment fee or other condition 19 on any covered person who elects to purchase drugs from a network 20 participating non-mail order retail pharmacy which is not also imposed 21 on covered persons electing to purchase drugs from a network participat- 22 ing mail order or other non-retail pharmacy; provided, however, that the 23 provisions of this section shall not supersede the terms of a collective 24 bargaining agreement or apply to a contract that is the result of a 25 collective bargaining agreement between an employer and a recognized or 26 certified employee organization. 27 § 4. This act shall take effect immediately.