Relates to not for profit pharmacies operated by an institution of higher education; requires policies issued by a Medicaid managed care provider to consider such pharmacies to be in the provider's pharmacy network.
STATE OF NEW YORK
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7922--A
2017-2018 Regular Sessions
IN ASSEMBLY
May 19, 2017
___________
Introduced by M. of A. STECK, FAHY, McDONALD -- read once and referred
to the Committee on Health -- committee discharged, bill amended,
ordered reprinted as amended and recommitted to said committee
AN ACT to amend the social services law, in relation to not for profit
pharmacies operated by an institution of higher education
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Section 364-j of the social services law is amended by
2 adding a new subdivision 34 to read as follows:
3 34. For any policy issued by a Medicaid managed care provider under
4 this section which provides coverage for prescription drugs, the provid-
5 er shall offer to include in its pharmacy network any pharmacy regis-
6 tered under section sixty-eight hundred eight of the education law, that
7 is a not for profit entity, operated by an institution of higher educa-
8 tion, is located in a postal zip code in which the managed care provider
9 has enrollees, and that primarily serves low income individuals or an
10 underserved population, to enable plan enrollees to fill any covered
11 drug prescription at such pharmacy and the pharmacy shall be paid the
12 same reimbursement amount for covered prescription drugs as other phar-
13 macies participating in the provider's network.
14 § 2. This act shall take effect on the ninetieth day after it shall
15 have become a law; provided that the commissioner of health shall make
16 regulations and take other actions reasonably necessary to implement
17 this act on such date; and provided, however, that the amendments to
18 section 364-j of the social services law made by section one of this act
19 shall not affect the repeal of such section and shall be deemed repealed
20 therewith.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD11701-02-7