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Bill > A07119


NY A07119

NY A07119
Requires managed care providers to annually provide each participant in their programs with a written list of mail-order pharmacies with which the managed care provider has a contract for coverage of prescription drugs.


summary

Introduced
03/20/2025
In Committee
01/07/2026
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the social services law, in relation to requiring each managed care provider to annually provide each participant in its program with a written list of mail-order pharmacies with which the managed care provider has a contract for coverage of prescription drugs

AI Summary

This bill amends the New York social services law to require managed care providers that offer prescription drug coverage to annually provide their program participants with a written list of mail-order pharmacies contracted for prescription drug coverage. Specifically, the bill modifies existing language to clarify that participants can fill prescriptions at any mail-order or retail pharmacy within the provider's network, and adds a new requirement for providers to proactively share their list of contracted mail-order pharmacies with participants each year. A "mail-order pharmacy" is defined as a pharmacy primarily conducting business by receiving prescriptions electronically or by mail and dispensing medications through postal or carrier services, with patient consultations typically occurring electronically rather than in person. The bill will take effect 180 days after becoming law and will apply to all new contracts and agreements entered into after that date, with the goal of increasing transparency and providing patients with more comprehensive information about their prescription drug coverage options.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

referred to health (on 01/07/2026)

bill text


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