Bill > A08136

This bill amends existing insurance laws to allow insurance policies that provide prescription drug coverage with cost-sharing tiers to offer additional programs that utilize rebates or discounts to lower an insured's out-of-pocket costs. Specifically, the bill permits insurance providers (including individual and group health insurance policies, medical service corporations, and health maintenance organizations) to create supplemental programs where insureds can receive more favorable cost-sharing for prescription drugs through additional rebates or discounts. These programs must be described in the policy or contract and can refer insureds to a website for more details, but they cannot be considered a separate drug cost-sharing tier. The bill applies to policies issued, renewed, modified, altered, or amended on or after January 1, 2026, and aims to provide consumers with more flexibility and potentially lower costs for prescription medications by allowing insurers to offer additional cost-reduction mechanisms beyond traditional drug tier pricing structures.

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https://www.nysenate.gov/legislation/bills/2025/A8136