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
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 Votes • Floor Votes • Memo • Text • LFIN • Chamber Video/Transcript S09434 Summary: BILL NOS09434   SAME ASSAME AS A07817-A   SPONSORRIVERA   COSPNSR   MLTSPNSR   Amd Part FFF §1, Chap 56 of 2020   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   03/12/2026REFERRED TO HEALTH 05/12/2026REPORTED AND COMMITTED TO FINANCE Go to topS09434 Committee Votes: Go to topS09434 Floor Votes: 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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