Bill > S07900

This bill amends existing insurance law to allow insurance policies that cover prescription drugs with cost-sharing tiers to offer additional programs that utilize rebates or discounts to lower an insured's out-of-pocket costs for prescription drugs. Specifically, these programs would enable insurers to provide more favorable cost-sharing for prescription drugs through rebate or discount mechanisms, without creating a new tier of drug cost-sharing. The bill applies to various types of health insurance, including individual policies, group policies, medical service corporations, and health maintenance organizations. Insurers must include a description of such cost-reduction programs in their policy documents, and they may direct insured individuals to a website for more detailed information about the reduced cost-sharing. The bill will take effect on January 1, 2026, and will apply to policies issued, renewed, modified, altered, or amended on or after that date, potentially providing consumers with additional opportunities to reduce their prescription drug expenses through innovative cost-sharing programs.

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https://www.nysenate.gov/legislation/bills/2025/S7900