•  Summary 
  •  
  •  Actions 
  •  
  •  Committee Votes 
  •  
  •  Floor Votes 
  •  
  •  Memo 
  •  
  •  Text 
  •  
  •  LFIN 
  •  
  •  Chamber Video/Transcript 

A07119 Summary:

BILL NOA07119
 
SAME ASNo Same As
 
SPONSORBichotte Hermelyn
 
COSPNSRGibbs
 
MLTSPNSR
 
Amd §364-j, Soc Serv L
 
Requires managed care providers to annually provide each participant in their programs with a written list of mail-order pharmacies with which the managed care provider has a contract for coverage of prescription drugs.
Go to top    

A07119 Actions:

BILL NOA07119
 
03/20/2025referred to health
Go to top

A07119 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          7119
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                     March 20, 2025
                                       ___________
 
        Introduced  by  M.  of  A.  BICHOTTE HERMELYN,  GIBBS  --  read once and
          referred to the Committee on Health
 
        AN ACT to amend the social services law, in relation to  requiring  each
          managed  care  provider  to  annually  provide each participant in its
          program with a written list of mail-order pharmacies  with  which  the
          managed  care  provider  has  a  contract for coverage 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  (u)  of  subdivision 4 of section 364-j of the
     2  social services law, as amended by section 12 of part A of chapter 56 of
     3  the laws of 2013, is amended to read as follows:
     4    (u) A managed care provider that provides  coverage  for  prescription
     5  drugs  shall  permit  each  participant  to  fill any mail order covered
     6  prescription, at [his or her] the  participant's  option,  at  any  mail
     7  order  pharmacy  or  non-mail-order  retail pharmacy in the managed care
     8  provider network. If the managed care provider  has  designated  one  or
     9  more  pharmacies  for  filling  prescriptions  for  a particular drug or
    10  drugs, then such prescriptions  may  be  filled,  at  the  participant's
    11  option,  at  any  other pharmacy in the network, if the network pharmacy
    12  chosen by the participant offers to accept a price that is comparable to
    13  that of the pharmacy designated by the managed care  provider.  For  the
    14  purposes  of  this section, "mail order pharmacy" means a pharmacy whose
    15  primary business is to receive prescriptions by mail, telefax or through
    16  electronic submissions, and to dispense medication to  patients  through
    17  the  use  of  the United States mail or other common or contract carrier
    18  services, and provides any  consultation  with  patients  electronically
    19  rather  than  face  to face. Every non-mail-order retail pharmacy in the
    20  managed care provider's network with respect to  any  prescription  drug
    21  shall  be  deemed to be in the managed care provider's network for every
    22  covered prescription drug. Each managed care  provider  subject  to  the
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10987-01-5

        A. 7119                             2
 
     1  provisions  of this paragraph shall annually provide each participant in
     2  its program with a written list of mail-order pharmacies with which  the
     3  managed care provider has a contract for coverage of prescription drugs.
     4    § 2. This act shall take effect on the one hundred eightieth day after
     5  it shall have become a law; and shall apply to all contracts, agreements
     6  and  leases  entered  into on or after such date, provided, however that
     7  the amendments to section 364-j of  the  social  services  law  made  by
     8  section  one of this act shall not affect the repeal of such section and
     9  shall be deemed repealed therewith.
Go to top