New York S 355: Provides for program eligibility for plans comparable to Medicare part D

Bill Text

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S00355 Summary:

BILL NOS00355A

&nbsp

SAME ASSAME AS A08226

&nbsp

SPONSORRIVERA

&nbsp

COSPNSRADDABBO, CLEARE, COONEY, JACKSON, LIU, MAY, RHOADS

&nbsp

MLTSPNSR

&nbsp

Amd §§242 & 241, Eld L; add §280-e, Pub Health L

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Relates to program eligibility for plans comparable to Medicare part D; provides for analysis of health plans by the department of health to determine whether such health plans meet or exceed the Medicare part D standard; requires the department of health, in consultation with the department of financial services, to notify prescription drug insurers of the provisions of this act.

Go to top S00355 Actions:

BILL NOS00355A

&nbsp

01/08/2025REFERRED TO HEALTH

02/04/2025REPORTED AND COMMITTED TO FINANCE

04/29/20251ST REPORT CAL.743

04/30/20252ND REPORT CAL.

05/01/2025ADVANCED TO THIRD READING 

05/12/2025AMENDED ON THIRD READING (T) 355A

05/20/2025PASSED SENATE

05/20/2025DELIVERED TO ASSEMBLY

05/20/2025referred to aging

01/07/2026died in assembly

01/07/2026returned to senate

01/07/2026REFERRED TO HEALTH

02/04/2026REPORTED AND COMMITTED TO FINANCE

Go to topS00355 Committee&nbspVotes:

Go to topS00355 Floor&nbspVotes:

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

Go to topS00355 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 355--A
 Cal. No. 743

 2025-2026 Regular Sessions

 IN SENATE

 (Prefiled)

 January 8, 2025
 ___________

 Introduced by Sens. RIVERA, ADDABBO, CLEARE, COONEY, LIU, MAY, RHOADS --
 read twice and ordered printed, and when printed to be committed to
 the Committee on Health -- reported favorably from said committee and
 committed to the Committee on Finance -- reported favorably from said
 committee, ordered to first and second report, ordered to a third
 reading, amended and ordered reprinted, retaining its place in the
 order of third reading

 AN ACT to amend the elder law, in relation to program eligibility for
 health plans comparable to Medicare part D; and to amend the public
 health law, in relation to assessment of prescription drug coverage by
 health plans

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

 1 Section 1. Paragraphs (f) and (h) of subdivision 3 and subdivision 4
 2 of section 242 of the elder law, paragraph (f) of subdivision 3 as
 3 amended by section 1 of part T of chapter 56 of the laws of 2012, para-
 4 graph (h) of subdivision 3 as amended by section 3-f of part A of chap-
 5 ter 59 of the laws of 2011, and subdivision 4 as added by section 12-a
 6 of part T of chapter 56 of the laws of 2012, are amended to read as
 7 follows:
 8 (f) As a condition of eligibility for benefits under this title, a
 9 program participant is required to be enrolled in Medicare part D, or
 10 any other public or private drug plan which has successfully demon-
 11 strated to CMS that the coverage meets or exceeds the actuarial value of
 12 the defined standard coverage under the Medicare part D prescription
 13 drug benefit, as determined by CMS, and to maintain such enrollment. For
 14 unmarried participants with individual annual income less than or equal
 15 to twenty-three thousand dollars and married participants with joint
 16 annual income less than or equal to twenty-nine thousand dollars, the
 17 elderly pharmaceutical insurance coverage program shall pay for the

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD00618-05-5

 S. 355--A 2

 1 portion of the part D or comparable plan monthly premium that is the
 2 responsibility of the participant. Such payment shall be limited to the
 3 low-income benchmark premium amount established by the federal centers
 4 for medicare and medicaid services and any other amount which such agen-
 5 cy establishes under its de minimus premium policy.
 6 (h) The elderly pharmaceutical insurance coverage program is author-
 7 ized to represent program participants under this title with respect to
 8 their Medicare part D or comparable coverage.
 9 4. As a condition of eligibility for benefits under this title,
 10 participants must be enrolled in [medicare] Medicare part D, or any
 11 other public or private drug plan which has successfully demonstrated to
 12 CMS