Bill
Bill > A08697
NY A08697
NY A08697Prohibits health care plans that provide essential benefits under the Affordable Care Act from removing a prescription drug from a formulary or adding new or additional formulary restrictions from a formulary during a plan year; requires notice to policy holders of intent to remove a drug from a formulary; relates to the effectiveness of certain provisions of law relating thereto.
summary
Introduced
01/10/2022
01/10/2022
In Committee
01/20/2022
01/20/2022
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
2021-2022 General Assembly
Bill Summary
AN ACT to amend the insurance law, in relation to prescription drug formulary changes during a plan year; to amend a chapter of the laws of 2021 amending the insurance law and the public health law relating to prescription drug formulary changes during a contract year, as proposed in legislative bills numbers S. 4111 and A. 4668, in relation to the effectiveness thereof; and to repeal section 4909 of the insurance law and section 4909 of the public health law relating thereto
AI Summary
This bill prohibits health care plans that provide essential benefits under the Affordable Care Act from removing a prescription drug from a formulary or adding new or additional formulary restrictions during a plan year, unless certain exceptions are met. It also requires plans to provide notice to policyholders of any intent to remove a drug from the formulary or make changes to deductible, copayment, or coinsurance requirements. The bill aims to ensure consistency in prescription drug coverage throughout the plan year and improve transparency for consumers.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
substituted by s7767 (on 01/25/2022)
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/A8697 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=A08697&term=2021&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#A08697 |
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