New York A 7119: Requires managed care providers to annually provide each participant in their programs with a written list of mail-order pharmacies

Bill Text

Bill Search and Legislative Information | New York State Assembly 

• 

• 

• 

• 

• 

• 

• 

• 

 Skip to main content 

 New York State Assembly

 Speaker Carl E. Heastie

 --> 
 --> 

 --> 

• 
 Assembly Members 

• 
 Legislative Info 

• 
 Public Hearings 

• 
 Speaker's Press 

• 
 Assembly Reports 

• 
 Committees & More 

• Bill Search Home
• Laws
• Legislative Calendar
• Public Hearing Schedule
• Assembly Calendars
• Assembly Committee Agenda 

 Javascript must be enabled to properly view this page. 

 Bill No.: 

• Summary 
• Actions 
• Committee&nbspVotes 
• Floor&nbspVotes 
• Memo 
• Text 
• LFIN 
• Chamber&nbspVideo/Transcript 
A07119 Summary:

BILL NOA07119 

&nbsp

SAME ASNo Same As

&nbsp

SPONSORBichotte Hermelyn

&nbsp

COSPNSRGibbs

&nbsp

MLTSPNSR

&nbsp

Amd §364-j, Soc Serv L

&nbsp

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 

&nbsp

03/20/2025referred to health

01/07/2026referred to health

Go to topA07119 Committee&nbspVotes:

Go to topA07119 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA07119 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 

• 

 Sitemap 

 Request Information 

 Directions and Maps