Bill Text: NY A06810 | 2021-2022 | General Assembly | Introduced

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Bill Title: Requires managed care providers that provide coverage for prescription drugs to provide coverage for home delivery of any covered prescription by any non-mail-order retail pharmacy in the managed care provider network.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2022-01-05 - referred to health [A06810 Detail]

Download: New_York-2021-A06810-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          6810

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                      April 8, 2021
                                       ___________

        Introduced  by  M.  of A. BICHOTTE HERMELYN -- read once and referred to
          the Committee on Health

        AN ACT to amend the  social  services  law,  in  relation  to  requiring
          managed care providers that provide coverage for prescription drugs to
          provide coverage for home delivery of any covered prescription drug by
          any  non-mail-order  retail  pharmacy  in  the  managed  care provider
          network

          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 option, at any mail order pharmacy  or  non-
     7  mail-order  retail  pharmacy  in  the managed care provider network.   A
     8  managed care provider that  provides  coverage  for  prescription  drugs
     9  shall   also   provide   coverage  for  home  delivery  of  any  covered
    10  prescription drug by any non-mail-order retail pharmacy in  the  managed
    11  care  provider  network. If the managed care provider has designated one
    12  or more pharmacies for filling prescriptions for a  particular  drug  or
    13  drugs,  then  such  prescriptions  may  be  filled, at the participant's
    14  option, at any other pharmacy in the network, if  the  network  pharmacy
    15  chosen by the participant offers to accept a price that is comparable to
    16  that  of  the  pharmacy designated by the managed care provider. For the
    17  purposes of this section, "mail order pharmacy" means a  pharmacy  whose
    18  primary business is to receive prescriptions by mail, telefax or through
    19  electronic  submissions,  and to dispense medication to patients through
    20  the use of the United States mail or other common  or  contract  carrier
    21  services,  and  provides  any  consultation with patients electronically
    22  rather than face to face. Every non-mail-order retail  pharmacy  in  the

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD06479-01-1
        A. 6810                             2

     1  managed  care  provider's  network with respect to any prescription drug
     2  shall be deemed to be in the managed care provider's network  for  every
     3  covered prescription drug.
     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 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.