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Bill > S06603
NY S06603
NY S06603Requires 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
05/10/2021
In Committee
06/10/2021
06/10/2021
Crossed Over
06/10/2021
06/10/2021
Passed
12/17/2021
12/17/2021
Dead
Vetoed
12/29/2021
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)
James Skoufis (D)*,
Joe Addabbo (D),
Fred Akshar (R),
Leroy Comrie (D),
Andrew Gounardes (D),
Pete Harckham (D),
Michelle Hinchey (D),
Brian Kavanagh (D),
Michael Martucci (R),
Shelley Mayer (D),
Tom O'Mara (R),
Elijah Reichlin-Melnick (D),
Gustavo Rivera (D),
Last Action
VETOED MEMO.85 (on 12/29/2021)
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/S6603 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=S06603&term=2021&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#S06603 |
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