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NY S00166
Bill
Status
Introduced
1/5/2011
Primary Sponsor
Martin Golden
Click for details
AI Summary
- Prohibits health insurers from limiting benefits or denying reimbursement based on whether a pharmacy has not been specifically selected or approved by the insurer
- Allows insureds to use pharmacies of their choice and pay any costs exceeding policy benefits without losing coverage
- Prevents insurers from prohibiting duly registered pharmacies from providing services if they meet minimum standards and conditions established by the policy
- Applies requirements to individual policies (Section 3216), group/blanket policies (Section 3221), third-party benefit programs (Sections 4303 and 4301), and employee welfare funds (Section 4413)
- Takes effect January 1 following enactment and applies to all policies and contracts issued, renewed, modified, altered, or amended on or after that date
Legislative Description
Provides that health insurers may not deny reimbursements to insureds because the registered pharmacy providing pharmaceutical products has not been approved by the insurer or other entity.
Last Action
REFERRED TO INSURANCE
1/5/2011
Committee Referrals
Insurance1/5/2011
Full Bill Text
No bill text available