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Bill > S07051
NY S07051
NY S07051Requires 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
05/17/2023
05/17/2023
In Committee
01/03/2024
01/03/2024
Crossed Over
Passed
Dead
12/31/2024
12/31/2024
Introduced Session
2023-2024 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 be approved by the Commissioner and followed by Medicaid managed care and Child Health Plus plans. This system includes provisions for prior authorization, emergency drug supply, and prohibits prior authorization requirements for certain drug classes like anti-psychotics and anti-retrovirals used to treat HIV/AIDS or Hepatitis C.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
REFERRED TO HEALTH (on 01/03/2024)
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/2023/S7051 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=S07051&term=2023&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#S07051 |
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