New York A 7817: Relates to exempting certain funds from the calculation of household benefits under public assistance programs

Bill Text

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A07817 Summary:

BILL NOA07817A

&nbsp

SAME ASSAME AS S09434

&nbsp

SPONSORPaulin

&nbsp

COSPNSRSchiavoni, McDonald

&nbsp

MLTSPNSR

&nbsp

Amd Part FFF §1, Chap 56 of 2020

&nbsp

Relates to excepting situations where a physician or other licensed health care provider is authorized to dispense certain medications and is practicing medicine in the oncology setting and is dispensing oncology drugs or drugs related to an approved course of treatment used to manage symptoms related to cancer or cancer therapies.

Go to top A07817 Actions:

BILL NOA07817A

&nbsp

04/11/2025referred to health

01/07/2026referred to health

03/10/2026amend and recommit to health

03/10/2026print number 7817a

Go to topA07817 Committee&nbspVotes:

Go to topA07817 Floor&nbspVotes:

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

Go to topA07817 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 7817--A

 2025-2026 Regular Sessions

 IN ASSEMBLY

 April 11, 2025
 ___________

 Introduced by M. of A. PAULIN -- read once and referred to the Committee
 on Health -- recommitted to the Committee on Health 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 part FFF of chapter 56 of the laws of 2020 relating to
 directing the department of health to remove the pharmacy benefit from
 the managed care benefit package and to provide the pharmacy benefit
 under the fee for service program, in relation to pharmacy benefits
 where a physician is authorized to dispense certain medications and
 practices medicine in the oncology setting

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

 1 Section 1. Section 1 of part FFF of chapter 56 of the laws of 2020
 2 relating to directing the department of health to remove the pharmacy
 3 benefit from the managed care benefit package and to provide the pharma-
 4 cy benefit under the fee for service program, as amended by section 1 of
 5 part C of chapter 57 of the laws of 2021, is amended to read as follows:
 6 Section 1. The Legislature hereby finds and declares that medical
 7 assistance for needy persons is a matter of public concern and a neces-
 8 sity in promoting the public health and welfare and for promoting the
 9 state's goal of making available to everyone, regardless of race, age,
 10 gender, national origin or economic standing, uniform, high-quality
 11 medical care. As the department of health is the single state agency
 12 responsible for supervising the administration of the state's medical
 13 assistance program (Medicaid), it is tasked with ensuring efficiency,
 14 economy, and quality of care in providing benefits to the state's needy
 15 persons. To this end and with the fiscal constraints facing our state in
 16 mind, the department of health continues to analyze the Medicaid program
 17 in search of ways to ensure Medicaid spending is held to the standard of
 18 efficiency, economy, and quality of care. In consideration of this stan-
 19 dard, the department of health is hereby directed to exercise its exist-

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD11144-02-6

 A. 7817--A 2

 1 ing administrative authority to remove the pharmacy benefit from managed
 2 care benefit package and instead provide the pharmacy benefit under the
 3 fee for service program, except where otherwise required by federal law
 4 or where a physician or other licensed health care provider is author-
 5 ized to dispense medications in accordance with section 6807 of the
 6 education law and is practicing medicine in an oncology setting and is
 7 dispensing oncology drugs or drugs related to an approved course of
 8 treatment used to manage symptoms related to cancer or cancer therapies,
 9 to ensure transparency and that the benefit is provided to the fullest
 10 extent and as efficiently as possible; provided, however, that the
 11 department of health shall not implement the transition of the pharmacy
 12 benefit from the managed care benefit package to the fee for service
 13 program sooner than April 1, 2023, and until it is satisfied that all
 14 necessary and