Bill Text: NY A05976 | 2011-2012 | General Assembly | Introduced


Bill Title: Provides for lowering co-payments for covered drugs for certain participants in the elderly pharmaceutical insurance coverage program.

Spectrum: Moderate Partisan Bill (Republican 23-3)

Status: (Introduced - Dead) 2012-01-04 - referred to aging [A05976 Detail]

Download: New_York-2011-A05976-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         5976
                              2011-2012 Regular Sessions
                                 I N  A S S E M B L Y
                                     March 3, 2011
                                      ___________
       Introduced  by  M.  of  A.  BURLING, BUTLER, FINCH, McDONOUGH, P. LOPEZ,
         STEVENSON -- Multi-Sponsored by -- M. of A. BARCLAY, CALHOUN,  CASTEL-
         LI,  CONTE,  DUPREY, FITZPATRICK, GIGLIO, HAWLEY, JOHNS, JORDAN, KOLB,
         McKEVITT, MOLINARO, MONTESANO, PALMESANO, RAIA, SPANO, TEDISCO, THIELE
         -- read once and referred to the Committee on Aging
       AN ACT to amend the elder law, in relation to  co-payments  for  covered
         drugs  by  certain  participants in the program for elderly pharmaceu-
         tical insurance coverage
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  Paragraph (b) of subdivision 3 and paragraphs (a) and (b)
    2  of subdivision 4 of section 247 of the elder law are amended to read  as
    3  follows:
    4    (b)  The  point  of  sale  co-payment  amounts which are to be charged
    5  eligible program participants shall be in accordance with the  following
    6  schedule:
    7    For each prescription of covered drugs costing $15.00 or less
    8      ..................................................... [$ 3.00] $2.50
    9    For each prescription of covered drugs costing $15.01 to
   10      $35.00 ............................................... [$7.00] $5.00
   11    For each prescription of covered drugs costing $35.01 to
   12      $55.00 .............................................. [$15.00] $7.50
   13    For each prescription of covered drugs costing $55.01 or more
   14  ........................................................ [$20.00] $10.00
   15    (a)  Limits  on  co-payments  by unmarried individual eligible program
   16  participants:
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD03416-01-1
       A. 5976                             2
    1    individual income of $5,000 or less .............  no more than [$340]
    2                                                                     $200
    3    individual income of $5,001 to $6,000 ............ no more than [$408]
    4                                                                     $240
    5    individual income of $6,001 to $7,000 ............ no more than [$476]
    6                                                                     $280
    7    individual income of $7,001 to $8,000 ............ no more than [$544]
    8                                                                     $320
    9    individual income of $8,001 to $9,000 ............ no more than [$612]
   10                                                                     $360
   11    individual income of $9,001 to $10,000 ........... no more than [$700]
   12                                                                     $400
   13    individual income of $10,001 to $11,000 .......... no more than [$720]
   14                                                                     $440
   15    individual income of $11,001 to $12,000 .......... no more than [$827]
   16                                                                     $480
   17    individual income of $12,001 to $13,000 .......... no more than [$896]
   18                                                                     $520
   19    individual income of $13,001 to $14,000 .......... no more than [$964]
   20                                                                     $560
   21    individual income of $14,001 to $15,000 ........ no more than [$1,016]
   22                                                                     $600
   23    individual income of $15,001 to $16,000 ........ no more than [$1,034]
   24                                                                     $640
   25    individual income of $16,001 to $17,000 ........ no more than [$1,052]
   26                                                                     $680
   27    individual income of $17,001 to $18,000 ........ no more than [$1,070]
   28                                                                     $720
   29    individual income of $18,001 to $19,000 ........ no more than [$1,088]
   30                                                                     $760
   31    individual income of $19,001 to $20,000 ........ no more than [$1,160]
   32                                                                     $800
   33    (b)  Limits on co-payments by each married individual eligible program
   34  participant:
   35    joint income of $5,000 or less ............... no more than [$291] $50
   36    joint income of $5,001 to $6,000 .............. no more than [$342]$75
   37    joint income of $6,001 to $7,000 ............ no more than [$399] $100
   38    joint income of $7,001 to $8,000 ............ no more than [$456] $110
   39    joint income of $8,001 to $9,000 ............ no more than [$513] $120
   40    joint income of $9,001 to $10,000 ........... no more than [$570] $125
   41    joint income of $10,001 to $11,000 .......... no more than [$622] $130
   42    joint income of $11,001 to $12,000 .......... no more than [$641] $140
   43    joint income of $12,001 to $13,000 .......... no more than [$660] $150
   44    joint income of $13,001 to $14,000 .......... no more than [$684] $160
   45    joint income of $14,001 to $15,000 .......... no more than [$710] $170
   46    joint income of $15,001 to $16,000 .......... no more than [$826] $180
   47    joint income of $16,001 to $17,000 .......... no more than [$877] $190
   48    joint income of $17,001 to $18,000 .......... no more than [$928] $200
   49    joint income of $18,001 to $19,000 .......... no more than [$980] $210
   50    joint income of $19,001 to $20,000 .......... no more than [$990] $220
   51    joint income of $20,001 to $21,000 ........ no more than [$1,008] $230
   52    joint income of $21,001 to $22,000 ........ no more than [$1,026] $240
   53    joint income of $22,001 to $23,000 ........ no more than [$1,044] $250
   54    joint income of $23,001 to $24,000 ........ no more than [$1,062] $260
       A. 5976                             3
    1    joint income of $24,001 to $25,000 ........ no more than [$1,080] $270
    2    joint income of $25,001 to $26,000 ........ no more than [$1,150] $280
    3    S  2.  This  act shall take effect on the thirtieth day after it shall
    4  have become a law.
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