A04007 Summary:

BILL NOA04007
 
SAME ASSAME AS S06541
 
SPONSORGottfried
 
COSPNSRSepulveda, Rodriguez
 
MLTSPNSR
 
Amd §364-j, rpld sub 25-a, Soc Serv L
 
Provides for coverage for certain medically necessary prescription drugs in Medicaid managed care programs.
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A04007 Actions:

BILL NOA04007
 
01/30/2017referred to health
03/01/2017reported referred to ways and means
01/03/2018referred to ways and means
05/30/2018reported
05/31/2018advanced to third reading cal.982
06/13/2018passed assembly
06/13/2018delivered to senate
06/13/2018REFERRED TO RULES
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A04007 Committee Votes:

HEALTH Chair:Gottfried DATE:03/01/2017AYE/NAY:26/0 Action: Favorable refer to committee Ways and Means
GottfriedAyeRaiaAye
SchimmingerAyeMcDonoughAye
GalefAyeRaAye
DinowitzAyeWalterAye
CahillAyeGarbarinoAye
PaulinAyeByrneAye
CymbrowitzAyeNorrisAye
GuntherAye
RosenthalAye
HevesiAye
LavineAye
TitoneAye
MayerAye
JaffeeAye
SteckAye
AbinantiAye
BraunsteinAye
KimAye
SolagesAye

WAYS AND MEANS Chair:Weinstein DATE:05/30/2018AYE/NAY:29/0 Action: Favorable
WeinsteinAyeOaksAye
LentolExcusedCrouchAye
SchimmingerAyeBarclayAye
GanttExcusedFitzpatrickAye
GlickExcusedHawleyAye
NolanExcusedMalliotakisAye
PretlowAyeWalterAye
PerryAyeMontesanoAye
ColtonAyeCurranAye
CookExcusedRaAye
CahillAye
AubryAye
HooperAye
ThieleAye
CusickAye
OrtizAye
BenedettoAye
WeprinAye
RodriguezAye
RamosAye
BraunsteinAye
McDonaldAye
RozicAye
Peoples-StokesAye
SimotasExcused

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A04007 Floor Votes:

DATE:06/13/2018Assembly Vote  YEA/NAY: 138/0
Yes
Abbate
Yes
Cook
Yes
Garbarino
Yes
Lupardo
Yes
Pellegrino
Yes
Stec
Yes
Abinanti
ER
Crespo
Yes
Giglio
Yes
Magee
Yes
Peoples-Stokes
Yes
Steck
ER
Arroyo
Yes
Crouch
Yes
Glick
Yes
Magnarelli
Yes
Perry
Yes
Stern
Yes
Ashby
Yes
Curran
Yes
Goodell
Yes
Malliotakis
Yes
Pheffer Amato
Yes
Stirpe
Yes
Aubry
Yes
Cusick
Yes
Gottfried
Yes
McDonald
ER
Pichardo
Yes
Tague
Yes
Barclay
Yes
Cymbrowitz
Yes
Gunther
Yes
McDonough
Yes
Pretlow
Yes
Taylor
Yes
Barnwell
Yes
Davila
Yes
Hawley
Yes
Mikulin
Yes
Quart
Yes
Thiele
Yes
Barrett
Yes
De La Rosa
Yes
Hevesi
Yes
Miller B
Yes
Ra
Yes
Titone
Yes
Barron
Yes
DenDekker
Yes
Hikind
Yes
Miller MG
Yes
Raia
Yes
Titus
Yes
Benedetto
Yes
Dickens
Yes
Hooper
Yes
Miller ML
Yes
Ramos
ER
Vanel
Yes
Bichotte
Yes
Dilan
Yes
Hunter
Yes
Montesano
Yes
Richardson
Yes
Walker
ER
Blake
Yes
Dinowitz
Yes
Hyndman
Yes
Morelle
Yes
Rivera
Yes
Wallace
Yes
Blankenbush
Yes
DiPietro
Yes
Jaffee
Yes
Morinello
ER
Rodriguez
Yes
Walsh
Yes
Bohen
Yes
D'Urso
Yes
Jean-Pierre
Yes
Mosley
Yes
Rosenthal D
Yes
Walter
Yes
Brabenec
Yes
Englebright
Yes
Jenne
Yes
Murray
Yes
Rosenthal L
Yes
Weinstein
Yes
Braunstein
Yes
Epstein
Yes
Johns
Yes
Niou
Yes
Rozic
Yes
Weprin
Yes
Brindisi
Yes
Errigo
Yes
Jones
Yes
Nolan
Yes
Ryan
Yes
Williams
Yes
Bronson
Yes
Espinal
Yes
Joyner
Yes
Norris
Yes
Santabarbara
Yes
Woerner
Yes
Buchwald
Yes
Fahy
Yes
Kim
Yes
Oaks
Yes
Schimminger
Yes
Wright
Yes
Butler
Yes
Fernandez
Yes
Kolb
Yes
O'Donnell
Yes
Seawright
Yes
Zebrowski
Yes
Byrne
Yes
Finch
ER
Lalor
Yes
Ortiz
Yes
Simon
Yes
Mr. Speaker
Yes
Cahill
Yes
Fitzpatrick
Yes
Lavine
Yes
Otis
Yes
Simotas
Yes
Carroll
Yes
Friend
Yes
Lawrence
Yes
Palmesano
Yes
Skoufis
Yes
Castorina
Yes
Galef
Yes
Lentol
Yes
Palumbo
Yes
Smith
Yes
Colton
ER
Gantt
Yes
Lifton
Yes
Paulin
Yes
Solages

‡ Indicates voting via videoconference
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A04007 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          4007
 
                               2017-2018 Regular Sessions
 
                   IN ASSEMBLY
 
                                    January 30, 2017
                                       ___________
 
        Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
          Committee on Health
 
        AN ACT to amend the social services law, in  relation  to  coverage  for
          certain  prescription  drugs; and to repeal certain provisions of such
          law relating thereto
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision 25 of section 364-j of the social services law,
     2  as  added  by section 55 of part D of chapter 56 of the laws of 2012, is
     3  amended to read as follows:
     4    25. [Effective January first, two thousand thirteen,  notwithstanding]
     5  Notwithstanding  any  provision  of  law  to  the contrary, managed care
     6  providers shall cover medically  necessary  prescription  drugs  in  the
     7  anti-depressant,   anti-retroviral,  antirejection,  seizure,  epilepsy,
     8  endocrine, hematologic, immunologic and atypical antipsychotic therapeu-
     9  tic [class] classes, including non-formulary drugs, upon [demonstration]
    10  determination by the prescriber under this subdivision. If the  prescri-
    11  ber,  after  consulting  with the managed care provider, determines that
    12  such drugs, in the prescriber's reasonable  professional  judgment,  are
    13  medically  necessary and warranted, the prescriber's determination shall
    14  be final. However, the prescriber's determination shall  not  be  final:
    15  (a)  where  the  drug approved by the managed care provider is a generic
    16  drug subject to subparagraph (i) of paragraph (a-1) of subdivision  four
    17  of section three hundred sixty-five-a of this article (mandatory generic
    18  substitution),  and  the  prescriber has indicated that the prescription
    19  shall be dispensed as written; or (b) if it is for the  use  of  a  drug
    20  that is not consistent with food and drug administration-approved label-
    21  ing  or  supported by one or more official Compendia references, includ-
    22  ing, but not limited to, the American Hospital Formulary Service (AHFS),
    23  the DRUGDEX Drug Information System and the United States Pharmacopeia.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07092-02-7

        A. 4007                             2
 
     1    § 2. Subdivision 25-a of section 364-j of the social services  law  is
     2  REPEALED.
     3    §  3.  This  act  shall take effect on the sixtieth day after it shall
     4  have become a law; provided that effective immediately, the commissioner
     5  of health may make regulations  and  take  other  actions  necessary  to
     6  implement  this act on that date; and provided, further, that the amend-
     7  ments to section 364-j of the social services law made by section one of
     8  this act shall not affect the repeal of such section and shall be deemed
     9  repealed therewith.
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