Bill Text: NY A07954 | 2023-2024 | General Assembly | Amended


Bill Title: Creates a wholesale prescription drug importation program which complies with federal standards and regulations for the purpose of generating substantial savings for consumers.

Spectrum: Moderate Partisan Bill (Democrat 41-5)

Status: (Introduced) 2024-06-07 - substituted by s9838 [A07954 Detail]

Download: New_York-2023-A07954-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         7954--A

                               2023-2024 Regular Sessions

                   IN ASSEMBLY

                                     August 18, 2023
                                       ___________

        Introduced  by  M. of A. SIMON, COOK, DINOWITZ, GUNTHER, HUNTER, LAVINE,
          MAGNARELLI,  RAMOS,  RIVERA,  L. ROSENTHAL,  REYES,  BENEDETTO,  CRUZ,
          EPSTEIN, COLTON, PAULIN, SILLITTI, JEAN-PIERRE, GONZALEZ-ROJAS, SMITH,
          FORREST,  JACKSON,  SIMONE, HEVESI, LUNSFORD, LEVENBERG, SANTABARBARA,
          LUPARDO, DeSTEFANO, DAVILA, CLARK, BURDICK, ARDILA,  STECK,  SHRESTHA,
          SEAWRIGHT, DICKENS, CURRAN, K. BROWN, SHIMSKY -- Multi-Sponsored by --
          M.  of A. BUTTENSCHON, THIELE -- read once and referred to the Commit-
          tee on Higher Education -- recommitted  to  the  Committee  on  Higher
          Education  in  accordance  with  Assembly  Rule 3, sec. 2 -- committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to said committee

        AN ACT to amend the public health law and the education law, in relation
          to creating a wholesale prescription drug importation program

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  The  public health law is amended by adding a new section
     2  280-d to read as follows:
     3    § 280-d. Wholesale prescription drug importation program.  1. As  used
     4  in this section,  the following terms shall have the following meanings:
     5    (a)  "Wholesale  prescription  drug  importation program" or "program"
     6  means the wholesale prescription drug importation program created  under
     7  this section.
     8    (b)  "Prescription  drug  wholesaler"  means  an  entity authorized to
     9  acquire prescription drugs and sell or distribute them wholesale in  the
    10  state.
    11    (c) "Approved wholesaler" means a prescription drug wholesaler author-
    12  ized to participate in the importation program under this section pursu-
    13  ant  to  approval by the state education department under section sixty-
    14  eight hundred eight of the education law.
    15    2. The commissioner, in consultation with the commissioner  of  educa-
    16  tion  and  other  appropriate federal and state agencies, shall design a

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03404-06-4

        A. 7954--A                          2

     1  wholesale prescription drug importation program for the wholesale impor-
     2  tation of prescription drugs  from  Canada.  The  program  design  shall
     3  comply  with applicable federal requirements, including 21 U.S.C. § 384,
     4  and  requirements  regarding  safety and cost savings. Under the program
     5  design:
     6    (a)  prescription  drugs  shall  only  be   acquired   from   Canadian
     7  prescription  drug  suppliers regulated and authorized under the laws of
     8  Canada or one or more Canadian provinces, or both;
     9    (b) only prescription drugs meeting the federal Food and Drug Adminis-
    10  tration's safety, effectiveness,  misbranding,  adulteration  and  other
    11  standards shall be imported under the program;
    12    (c)  only  prescription drugs expected to generate substantial savings
    13  for consumers in the state shall be imported;
    14    (d) the prescription drug is not:
    15    (i) a controlled substance as defined in 21 U.S.C. § 802;
    16    (ii) a biological product as defined in 42 U.S.C. § 262;
    17    (iii) an infused drug, including a peritoneal dialysis solution;
    18    (iv) an intravenously injected drug;
    19    (v) a drug that is inhaled during surgery;
    20    (vi) a drug which is a parenteral drug, the importation  of  which  is
    21  determined  by  the United States Secretary of Health and Human Services
    22  to pose a threat to public health;
    23    (e) any approved wholesaler shall at all times comply with the  track-
    24  ing  and tracing requirements of 21 U.S.C. §§ 360eee and 360eee-1 to the
    25  extent practicable prior to imported prescription drugs coming into  the
    26  possession  of  the  approved  wholesaler,  and  fully comply with those
    27  requirements after imported prescription drugs are in the possession  of
    28  the approved wholesaler;
    29    (f)  an  approved  wholesaler  shall  not sell, distribute or dispense
    30  prescription drugs imported under the program outside of the state;
    31    (g) the commissioner may impose an annual fee on approved wholesalers,
    32  which may be based in whole or in part  on  the  value  of  prescription
    33  drugs  imported by the approved wholesaler under the program, to support
    34  the operation of the program;
    35    (h) every approved wholesaler shall provide the commissioner  and  the
    36  commissioner  of  education with information on its participation in the
    37  program as required by such commissioners including but not limited to:
    38    (i) the name and quantity of the active ingredient of the drug;
    39    (ii) a description of the dosage form of the drug;
    40    (iii) the date on which the drug is received;
    41    (iv) the quantity of the drug that is received;
    42    (v) the point of origin and destination of the drug; and
    43    (vi) the price paid by the approved wholesaler for the drug
    44    (i) the commissioner  shall  provide  for  auditing  of  the  program,
    45  including  making  sure  that  prescription  drugs are made available at
    46  substantial savings to consumers as a result of  the  program,  ensuring
    47  that  the  prescription  drugs  are approved for marketing in the United
    48  States, meet all labeling requirements under state and federal laws  and
    49  regulations,  and  is  not  adulterated or misbranded, and ensuring that
    50  prescription drugs are authentic and in compliance with the federal Food
    51  and Drug Administration's approved drug specifications and standards.
    52    3. The department, in consultation with the  state  education  depart-
    53  ment,  shall  promulgate  rules and regulations to design the program in
    54  accordance with subdivision two of this section.
    55    4. (a) The commissioner, in  consultation  with  the  commissioner  of
    56  education,  shall  seek all necessary approvals and certification by the

        A. 7954--A                          3

     1  secretary of the U.S. Department of Health  and  Human  Services  and/or
     2  other  appropriate  federal  officials  or  agencies  for  the wholesale
     3  prescription drug importation program designed under this section.
     4    (b)  The  commissioner  shall  seek the appropriate federal approvals,
     5  waivers, exemptions, or agreements, or a combination thereof, as  needed
     6  to  enable  all  covered  entities  enrolled in or eligible for the drug
     7  discount program authorized by section 340B of the federal public health
     8  service  act  (42  U.S.C.  §  256b)  to  participate  in  the  wholesale
     9  prescription  drug  importation  program  to the fullest extent possible
    10  without jeopardizing their eligibility for such drug discount program.
    11    5. Upon receipt of federal approval and certification under  paragraph
    12  (a)  of  subdivision four of this section, the commissioner shall imple-
    13  ment the program pursuant to this section.
    14    6. The commissioner shall immediately suspend  the  importation  of  a
    15  specific  prescription  drug or the importation of prescription drugs by
    16  an approved wholesaler if the commissioner discovers that  any  drug  or
    17  activity  is in violation of this section or any federal or state law or
    18  regulation, and shall immediately notify the commissioner  of  education
    19  of  such  suspension.    Furthermore,  the commissioner shall inform the
    20  commissioner of education of all facts and circumstances leading to such
    21  suspension as soon as practicable, and shall cooperate with the  commis-
    22  sioner of education in any disciplinary investigation or action pursuant
    23  to title eight of the education law related to such wholesaler.
    24    7.  Nothing  in this section shall be construed as affecting or in any
    25  way interfering with the commissioner of education's oversight of whole-
    26  salers.
    27    8. The commissioner shall annually report to the governor, the  tempo-
    28  rary  president of the senate, and the speaker of the assembly regarding
    29  the implementation of a federally approved wholesale  prescription  drug
    30  importation program.  The report shall include, at a minimum:
    31    (a) a list of the prescription drugs imported under the program;
    32    (b)  a list of all participating Canadian prescription drug suppliers,
    33  approved wholesalers, and other participating entities;
    34    (c) estimated cost savings during the previous fiscal year;
    35    (d) information regarding audit findings; and
    36    (e) any other relevant information.
    37    § 2. Section 6808 of the education law is  amended  by  adding  a  new
    38  subdivision 10 to read as follows:
    39    10. Prescription drug importation program wholesalers. a. A wholesaler
    40  shall  not  participate  in  the wholesale prescription drug importation
    41  program under section two hundred eighty-d  of  the  public  health  law
    42  without prior application and approval by the department.
    43    b.  Such application shall be made on a form prescribed by the depart-
    44  ment.
    45    c. Such application shall be accompanied by a fee  determined  by  the
    46  department.
    47    d. All approvals shall be renewed on dates set by the department.
    48    e.  All  approvals  shall meet applicable federal laws and regulations
    49  including under 21 U.S.C. § 384, as amended, and any regulations promul-
    50  gated thereunder.
    51    § 3. This act shall take effect eighteen months after  it  shall  have
    52  become  a  law.  Effective  immediately,  the addition, amendment and/or
    53  repeal of any rule or regulation necessary  for  the  implementation  of
    54  this  act  on its effective date are authorized to be made and completed
    55  on or before such effective date.
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