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NY S07150
Bill
Status
Engrossed
6/15/2016
Primary Sponsor
Martin Golden
Click for details
AI Summary
- Establishes new requirements for pharmacy benefit managers conducting audits of contracted pharmacies, including prohibiting on-site audits during the first three calendar days of any month
- Requires pharmacy benefit managers to provide at least seven days' notice before conducting an initial on-site audit
- Limits audits to claims submitted or adjudicated within the previous twenty-four months
- Mandates pharmacy benefit managers to provide preliminary audit reports to pharmacies within 120 days of audit conclusion and allow pharmacies to submit documentation addressing audit findings
- Requires pharmacy benefit managers to use written and verifiable records from hospitals, physicians, or other authorized practitioners to validate pharmacy records in accordance with state and federal law
Legislative Description
Enacts provisions governing the conduct of audits of pharmacies by pharmacy benefit managers; provides timeframes for reports, specifies documentation to be used; exempts certain investigations.
Last Action
referred to health
6/15/2016
Committee Referrals
Rules6/15/2016
Health3/31/2016
Full Bill Text
No bill text available