Bill
Bill > S05009
NY S05009
NY S05009Requires Medicaid managed care, and Child Health Plus plans to adopt the procedural protections of the Preferred Drug Program, including "prescriber prevails," for all drugs.
summary
Introduced
02/22/2021
02/22/2021
In Committee
01/05/2022
01/05/2022
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
2021-2022 General Assembly
Bill Summary
AN ACT to amend the social services law and the public health law, in relation to prescription drugs in Medicaid managed care programs; and to repeal certain provisions of the social services law, relating to payments for prescription drugs
AI Summary
This bill requires Medicaid managed care and Child Health Plus plans to adopt the procedural protections of the Preferred Drug Program, including "prescriber prevails," for all drugs. Specifically, the bill establishes a "qualified prescription drug system" that must provide 24/7 access for prior authorization requests, allow prescribers to override prior authorization requirements in certain circumstances, and exempt certain drug classes like anti-psychotics and anti-retrovirals from prior authorization. The bill also repeals provisions related to payments for prescription drugs in Medicaid managed care and requires the Child Health Plus program to use the qualified prescription drug system.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
REFERRED TO HEALTH (on 01/05/2022)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.nysenate.gov/legislation/bills/2021/S5009 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=S05009&term=2021&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#S05009 |
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