Bill > S03555

This bill aims to improve and expand the pharmaceutical insurance coverage program for Medicare enrollees in New York by creating an Expanded Pharmaceutical Insurance Coverage Panel responsible for overseeing and managing the program. The bill gradually expands program eligibility from age 65 in 2024 down to age 18 by 2033, and modifies income thresholds for comprehensive and catastrophic coverage. The new panel, consisting of key state department commissioners, will be responsible for promulgating program regulations, determining cost-sharing responsibilities, entering into contracts, implementing program improvements, developing outreach programs, and submitting an annual report to state leadership. The bill also requires program participants to be enrolled in Medicare Part D, and for lower-income participants, the program will cover their Part D monthly premiums and potential late enrollment penalties. Additionally, the bill requires the program to post manufacturer rebate information on its website to help enrollees make informed decisions during Medicare open enrollment. The changes aim to make pharmaceutical coverage more accessible and transparent for New York residents across a broader age range and income spectrum.

Budget and Finance, Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S3555