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Bill > S05022


NY S05022

NY S05022
Prohibits a health care plan from making prescription drug formulary changes during a contract year.


summary

Introduced
03/06/2017
In Committee
01/03/2018
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

2017-2018 General Assembly

Bill Summary

AN ACT to amend the insurance law and the public health law, in relation to prescription drug formulary changes during a contract year The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1

AI Summary

This bill prohibits health care plans from making certain changes to prescription drug formularies during a contract year, such as removing drugs, moving drugs to a tier with higher cost-sharing, or adding utilization management restrictions. The bill provides exceptions for when a generic equivalent or interchangeable biological product is added, or when the FDA determines a drug should be removed from the market. The bill also requires plans to provide notice to policyholders of any formulary or cost-sharing changes for the upcoming plan year prior to the open enrollment period.

Committee Categories

Business and Industry

Sponsors (35)

Last Action

PRINT NUMBER 5022C (on 04/17/2018)

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