- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
S06603 Summary:
BILL NO | S06603 |
  | |
SAME AS | SAME AS A07598 |
  | |
SPONSOR | SKOUFIS |
  | |
COSPNSR | ADDABBO, AKSHAR, COMRIE, GOUNARDES, HARCKHAM, HINCHEY, KAVANAGH, MARTUCCI, MAYER, O'MARA, REICHLIN-MELNICK, RIVERA |
  | |
MLTSPNSR | |
  | |
Amd §364-j, Soc Serv L; amd §280-a, Pub Health L | |
  | |
Requires Medicaid managed care plans to reimburse retail pharmacies in an amount equal to the fee-for-service rate; allows retail pharmacies the opportunity to participate in another provider's network under the medical assistance program; prohibits pharmacy benefit managers from limiting an individual's option to receive medications from non-mail order pharmacies. |
S06603 Actions:
BILL NO | S06603 | |||||||||||||||||||||||||||||||||||||||||||||||||
  | ||||||||||||||||||||||||||||||||||||||||||||||||||
05/10/2021 | REFERRED TO HEALTH | |||||||||||||||||||||||||||||||||||||||||||||||||
05/19/2021 | REPORTED AND COMMITTED TO FINANCE | |||||||||||||||||||||||||||||||||||||||||||||||||
06/10/2021 | COMMITTEE DISCHARGED AND COMMITTED TO RULES | |||||||||||||||||||||||||||||||||||||||||||||||||
06/10/2021 | ORDERED TO THIRD READING CAL.1749 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/10/2021 | PASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
06/10/2021 | DELIVERED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
06/10/2021 | referred to ways and means | |||||||||||||||||||||||||||||||||||||||||||||||||
06/10/2021 | substituted for a7598 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/10/2021 | ordered to third reading rules cal.773 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/10/2021 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
06/10/2021 | returned to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
12/17/2021 | DELIVERED TO GOVERNOR | |||||||||||||||||||||||||||||||||||||||||||||||||
12/29/2021 | VETOED MEMO.85 |
S06603 Committee Votes:
Go to topS06603 Floor Votes:
Yes
Abbate
Yes
Clark
Yes
Frontus
Yes
Lalor
Yes
Paulin
Yes
Sillitti
Yes
Abinanti
Yes
Colton
Yes
Galef
Yes
Lavine
Yes
Peoples-Stokes
Yes
Simon
Yes
Anderson
Yes
Conrad
Yes
Gallagher
Yes
Lawler
Yes
Perry
Yes
Simpson
Yes
Angelino
Yes
Cook
Yes
Gallahan
Yes
Lemondes
Yes
Pheffer Amato
Yes
Smith
Yes
Ashby
Yes
Cruz
Yes
Gandolfo
Yes
Lunsford
Yes
Pichardo
Yes
Smullen
Yes
Aubry
Yes
Cusick
Yes
Giglio JA
Yes
Lupardo
Yes
Pretlow
Yes
Solages
Yes
Barclay
Yes
Cymbrowitz
Yes
Giglio JM
Yes
Magnarelli
Yes
Quart
Yes
Steck
Yes
Barnwell
Yes
Darling
Yes
Glick
Yes
Mamdani
Yes
Ra
Yes
Stern
Yes
Barrett
Yes
Davila
Yes
Gonzalez-Rojas
Yes
Manktelow
Yes
Rajkumar
Yes
Stirpe
Yes
Barron
Yes
De La Rosa
Yes
Goodell
Yes
McDonald
Yes
Ramos
Yes
Tague
Yes
Benedetto
Yes
DeStefano
Yes
Gottfried
Yes
McDonough
Yes
Reilly
Yes
Tannousis
Yes
Bichotte Hermel
Yes
Dickens
Yes
Griffin
Yes
McMahon
Yes
Reyes
Yes
Taylor
Yes
Blankenbush
Yes
Dilan
Yes
Gunther
Yes
Meeks
Yes
Richardson
Yes
Thiele
Yes
Brabenec
Yes
Dinowitz
Yes
Hawley
Yes
Mikulin
Yes
Rivera J
Yes
Vanel
Yes
Braunstein
Yes
DiPietro
Yes
Hevesi
Yes
Miller B
Yes
Rivera JD
Yes
Walczyk
Yes
Bronson
Yes
Durso
Yes
Hunter
Yes
Miller M
Yes
Rodriguez
Yes
Walker
Yes
Brown
Yes
Eichenstein
Yes
Hyndman
Yes
Mitaynes
Yes
Rosenthal D
Yes
Wallace
Yes
Burdick
Yes
Englebright
Yes
Jackson
Yes
Montesano
Yes
Rosenthal L
Yes
Walsh
Yes
Burgos
Yes
Epstein
Yes
Jacobson
Yes
Morinello
Yes
Rozic
Yes
Weinstein
Yes
Burke
Yes
Fahy
Yes
Jean-Pierre
Yes
Niou
Yes
Salka
Yes
Weprin
Yes
Buttenschon
Yes
Fall
Yes
Jensen
ER
Nolan
Yes
Santabarbara
Yes
Williams
Yes
Byrne
Yes
Fernandez
Yes
Jones
Yes
Norris
Yes
Sayegh
Yes
Woerner
Yes
Byrnes
Yes
Fitzpatrick
Yes
Joyner
Yes
O'Donnell
Yes
Schmitt
Yes
Zebrowski
Yes
Cahill
Yes
Forrest
Yes
Kelles
Yes
Otis
Yes
Seawright
Yes
Zinerman
Yes
Carroll
Yes
Friend
Yes
Kim
Yes
Palmesano
Yes
Septimo
Yes
Mr. Speaker
‡ Indicates voting via videoconference
S06603 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 6603 2021-2022 Regular Sessions IN SENATE May 10, 2021 ___________ Introduced by Sen. SKOUFIS -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the social services law and the public health law, in relation to protecting access to pharmacy services The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivision 4 of section 364-j of the social services law 2 is amended by adding two new paragraphs (w) and (x) to read as follows: 3 (w) Notwithstanding any provision of law to the contrary, administra- 4 tive fees paid to a managed care provider or a pharmacy benefit manager 5 under the medical assistance program shall be reduced for the purpose of 6 increasing reimbursement rates to retail pharmacies under the Medicaid 7 managed care program. Beginning on and after July first, two thousand 8 twenty-one, all reimbursement paid by Medicaid managed care plans to 9 retail pharmacies shall include a professional dispensing fee and the 10 drug acquisition cost for each outpatient drug dispensed at no less than 11 the amount established under the fee-for-service program, as defined in 12 section three hundred sixty-seven-a of this title, regardless of whether 13 such reimbursement is paid directly by the Medicaid managed care plan or 14 passed through a pharmacy benefit manager or other entity. The 15 reimbursement provided for under this paragraph shall not apply to any 16 existing reimbursement arrangements involving an eligible provider under 17 section 340B of the federal public health services act or a comprehen- 18 sive HIV special needs plan under section forty-four hundred three-c of 19 the public health law under the medical assistance program. No managed 20 care provider or pharmacy benefit manager shall reimburse a pharmacy 21 owned by or affiliated with such entity at a higher rate than that paid 22 by such entity to a pharmacy it does not own or is not otherwise affil- 23 iated with. 24 (x) Notwithstanding any provision of law to the contrary, a managed 25 care provider or pharmacy benefit manager acting on its behalf, as EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11345-01-1S. 6603 2 1 defined in section two hundred eighty-a of the public health law, shall 2 not deny any retail pharmacy the opportunity to participate in another 3 provider's pharmacy network under the medical assistance program at 4 preferred participation status, provided that such retail pharmacy 5 agrees to the same reimbursement amount, as defined in paragraph (w) of 6 this subdivision, and is able to fill and dispense prescription and 7 over-the-counter medications for those enrolled in the medical assist- 8 ance program. 9 § 2. Section 280-a of the public health law is amended by adding a new 10 subdivision 5 to read as follows: 11 5. Notwithstanding any provision of law to the contrary, no pharmacy 12 benefit manager shall limit the option for an individual receiving 13 prescription or over-the-counter medications to receive such medications 14 from their local, non-mail order pharmacy of choice via delivery includ- 15 ing in-person delivery, United States postal service or other mail or 16 courier service. No restrictions, prohibitions or prior authorization 17 requirements shall be based on the individual's choice in delivery type 18 or distance from a pharmacy. 19 § 3. This act shall take effect on the thirtieth day after it shall 20 have become a law; provided, however, that the amendments to subdivision 21 4 of section 364-j of the social services law made by section one of 22 this act shall take effect July 1, 2021; provided further that if this 23 act shall have become a law after such date it shall take effect imme- 24 diately and shall be deemed to have been in full force and effect on and 25 after July 1, 2021; provided further that the amendments to subdivision 26 4 of section 364-j of the social services law made by section one of 27 this act shall not affect the repeal of such section and shall be deemed 28 repealed therewith.