Bill
Bill > A00832
NY A00832
NY A00832Relates to certain prohibitions in contracts or agreements by health maintenance organizations; prohibits clauses which entitle reimbursement at the lowest price or rate; prohibits contracts which restrict referral of patients based solely upon a health care provider's status with a managed care product; prohibits contracts which allow for the substitution of a pharmaceutical drug or agent by any person other than the prescribing health care professional.
summary
Introduced
01/06/2021
01/06/2021
In Committee
03/30/2022
03/30/2022
Crossed Over
03/30/2022
03/30/2022
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
2021-2022 General Assembly
Bill Summary
Relates to certain prohibitions in contracts or agreements by health maintenance organizations; prohibits clauses which entitle reimbursement at the lowest price or rate; prohibits contracts which restrict referral of patients based solely upon a health care provider's status with a managed care product; prohibits disclosure of an enrollee's diagnosis on a prescription as a condition for authorizing coverage for payment or dispensing of a prescription; and prohibits contracts which allow for the substitution of a pharmaceutical drug or agent by any person other than the prescribing health care professional.
AI Summary
This bill prohibits certain practices by health maintenance organizations (HMOs) and insurers. It prohibits HMOs and insurers from including clauses in contracts that allow them to reimburse health care providers at the lowest price or rate they have charged other entities. It also prohibits HMOs and insurers from prohibiting health care providers from referring patients to other providers based solely on the provider's status with the HMO or insurer's managed care product. Additionally, the bill prohibits HMOs and insurers from allowing the substitution of pharmaceutical drugs or agents by anyone other than the prescribing health care professional or a pharmacist.
Committee Categories
Health and Social Services
Sponsors (17)
Robert Carroll (D)*,
William Colton (D)*,
Vivian Cook (D)*,
Steven Cymbrowitz (D)*,
Deborah Glick (D)*,
Richard Gottfried (D)*,
Aileen Gunther (D)*,
N. Nick Perry (D)*,
José Rivera (D)*,
Charles Barron (D),
Michael Cusick (D),
Jeffrey Dinowitz (D),
Steven Englebright (D),
Sandy Galef (D),
Amy Paulin (D),
Linda Rosenthal (D),
Nader Sayegh (D),
Last Action
REFERRED TO HEALTH (on 03/30/2022)
Official Document
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