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Bill > S06603


NY S06603

NY S06603
Requires Medicaid managed care plans to reimburse retail pharmacies in an amount equal to the fee-for-service rate; allows retail pharmacies the opportunity to participate in another provider's network under the medical assistance program; prohibits pharmacy benefit managers from limiting an individual's option to receive medications from non-mail order pharmacies.


summary

Introduced
05/10/2021
In Committee
06/10/2021
Crossed Over
06/10/2021
Passed
12/17/2021
Dead
Vetoed
12/29/2021

Introduced Session

2021-2022 General Assembly

Bill Summary

Requires Medicaid managed care plans to reimburse retail pharmacies in an amount equal to the fee-for-service rate; allows retail pharmacies the opportunity to participate in another provider's network under the medical assistance program; prohibits pharmacy benefit managers from limiting an individual's option to receive medications from non-mail order pharmacies.

AI Summary

This bill requires Medicaid managed care plans to reimburse retail pharmacies at the same rate as the fee-for-service Medicaid program, allows retail pharmacies to participate in other providers' Medicaid networks at the same reimbursement rate, and prohibits pharmacy benefit managers (PBMs) from limiting individuals' ability to receive medications from non-mail order pharmacies. The bill aims to ensure fair reimbursement for retail pharmacies and preserve patient choice in where they can obtain their medications under the Medicaid program.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (13)

Last Action

VETOED MEMO.85 (on 12/29/2021)

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