New York A 7149: Requires managed care providers that provide coverage for prescription drugs to provide coverage for home delivery of any covered prescription drug

Bill Text

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A07149 Summary:

BILL NOA07149 

&nbsp

SAME ASNo Same As

&nbsp

SPONSORBichotte Hermelyn

&nbsp

COSPNSRGibbs, Kim

&nbsp

MLTSPNSR

&nbsp

Amd §364-j, Soc Serv L

&nbsp

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.

Go to top A07149 Actions:

BILL NOA07149 

&nbsp

03/20/2025referred to health

01/07/2026referred to health

Go to topA07149 Committee&nbspVotes:

Go to topA07149 Floor&nbspVotes:

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

Go to topA07149 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 7149

 2025-2026 Regular Sessions

 IN ASSEMBLY

 March 20, 2025
 ___________

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

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD10955-01-5

 A. 7149 2

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

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