Bill
Bill > A07598
NY A07598
NY A07598Requires 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
05/18/2021
05/18/2021
In Committee
06/10/2021
06/10/2021
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
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, in order to increase reimbursement to retail pharmacies. It also allows retail pharmacies to participate in other providers' pharmacy networks under Medicaid at the same reimbursement rate, and prohibits pharmacy benefit managers from limiting an individual's option to receive medications from non-mail order local pharmacies. The bill aims to provide retail pharmacies with more equitable reimbursement and access for Medicaid beneficiaries.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (34)
Richard Gottfried (D)*,
Joe Angelino (R),
Didi Barrett (D),
Charles Barron (D),
Karl Brabenec (R),
William Colton (D),
Steven Cymbrowitz (D),
Maritza Davila (D),
Inez Dickens (D),
Jeffrey Dinowitz (D),
Simcha Eichenstein (D),
Steven Englebright (D),
Harvey Epstein (D),
Patricia Fahy (D),
Sandy Galef (D),
Judy Griffin (D),
Aileen Gunther (D),
Pamela Hunter (D),
Jonathan Jacobson (D),
Billy Jones (D),
John McDonald (D),
Michael Montesano (R),
Steve Otis (D),
Amy Paulin (D),
Stacey Pheffer Amato (D),
Mike Reilly (R),
David Rosenthal (D),
Linda Rosenthal (D),
Jo Anne Simon (D),
Phil Steck (D),
Steve Stern (D),
Fred Thiele (D),
Ken Zebrowski (D),
Stefani Zinerman (D),
Last Action
substituted by s6603 (on 06/10/2021)
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/A7598 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=A07598&term=2021&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#A07598 |
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