Bill > S00355

This bill modifies the elder law and public health law to enhance prescription drug coverage options for seniors, particularly those enrolled in the Elderly Pharmaceutical Insurance Coverage (EPIC) program. The bill expands program eligibility to include not just Medicare Part D, but also other public or private drug plans that can demonstrate coverage equivalent to or exceeding Medicare Part D standards, as determined by the Centers for Medicare & Medicaid Services (CMS). It requires the Department of Health to create a process for insurers and individuals to have their health plans assessed for prescription drug coverage comparability, including maintaining an online list of plans that meet the Medicare Part D standard. The bill also defines various terms like "health plan" and "insurer" and establishes a system for ongoing monitoring and reevaluation of these plans. Additionally, the Department of Health must notify insurers about the new provisions and provide detailed guidelines about the EPIC program. The goal is to provide seniors with more flexibility in choosing prescription drug coverage while ensuring a minimum standard of comprehensive drug benefits.

Budget and Finance, Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S355