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NY S07109

Bill

Status

Introduced

1/8/2020

Primary Sponsor

Brad Hoylman-Sigal

Click for details

Origin

Senate

2019-2020 General Assembly

AI Summary

  • Establishes a medication synchronization program for Medicaid recipients when agreed upon by the recipient, provider, and pharmacist, allowing multiple chronic illness prescriptions to be coordinated to the same refill date.

  • Excludes Schedule II controlled substances and Schedule III controlled substances containing hydrocodone from synchronization, and requires medications to meet prior authorization criteria and not violate quantity limits or dose optimization requirements.

  • Prohibits the Department of Health and managed care organizations from denying coverage for partial medication supplies dispensed for synchronization purposes and requires them to allow pharmacies to override "refilled too soon" denial codes.

  • Mandates that cost-sharing for synchronized medications be prorated to the daily rate, while dispensing fees to pharmacies for partial supplies must be paid in full without proration.

  • Takes effect 120 days after enactment, with regulations to be established immediately by the commissioner of health; provisions expire with the underlying Medicaid statutes they amend.

Legislative Description

Provides for the synchronization of multiple prescriptions for recipients of medical assistance.

Last Action

COMMITTED TO RULES

12/28/2020

Committee Referrals

Rules12/28/2020
Health1/8/2020

Full Bill Text

No bill text available