New York S 9434: Relates to pharmacy benefits where a physician is authorized to dispense certain medications and practices medicine in the oncology setting

Status: REPORTED AND COMMITTED TO FINANCE (as of 2026-05-12)

State: New York · Session: 2025-2026 · Bill: S 9434

Sponsors: Gustavo Rivera

Bill Text

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S09434 Summary:

BILL NOS09434 

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SAME ASSAME AS A07817-A

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SPONSORRIVERA

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COSPNSR

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MLTSPNSR

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Amd Part FFF §1, Chap 56 of 2020

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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 S09434 Actions:

BILL NOS09434 

&nbsp

03/12/2026REFERRED TO HEALTH

05/12/2026REPORTED AND COMMITTED TO FINANCE

Go to topS09434 Committee&nbspVotes:

Go to topS09434 Floor&nbspVotes:

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

Go to topS09434 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 9434

 IN SENATE

 March 12, 2026
 ___________

 Introduced by Sen. RIVERA -- read twice and ordered printed, and when
 printed to be committed to the Committee on Health

 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-
 20 ing administrative authority to remove the pharmacy benefit from managed
 21 care benefit package and instead provide the pharmacy benefit under the
 22 fee for service program, except where otherwise required by federal law
 23 or where a physician or other licensed health care provider is author-
 24 ized to dispense medications in accordance with section 6807 of the

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD11144-03-6

 S. 9434 2

 1 education law and is practicing medicine in an oncology setting and is
 2 dispensing oncology drugs or drugs related to an approved course of
 3 treatment used to manage symptoms related to cancer or cancer therapies,
 4 to ensure transparency and that the benefit is provided to the fullest
 5 extent and as efficiently as possible; provided, however, that the
 6 department of health shall not implement the transition of the pharmacy
 7 benefit from the managed care benefit package to the fee for service
 8 program sooner than April 1, 2023, and until it is satisfied that all
 9 necessary and appropriate transition planning has occurred, in its sole
 10 discretion, and federal approvals have been obtained and preparations
 11 have been made. Furthermore, to ensure an orderly transition, continued
 12 access to medications, and appropriate patient e

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