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NY A03693

Bill

Status

Introduced

2/6/2023

Primary Sponsor

David Weprin

Click for details

Origin

Assembly

2023-2024 General Assembly

AI Summary

  • Amends insurance law sections 3216, 3221, and 4303 to limit application of third-party prescription drug payment rules to specific drug categories: brand-name drugs without AB-rated generic equivalents, brand-name drugs with AB-rated generics that are accessible through prior authorization or insurer appeal processes, or generic drugs the insurer will cover.

  • Changes singular usage from "prescription drugs" to "prescription drug" in three insurance law provisions covering individual policies, group/blanket policies, and health service contracts.

  • Delays the effective date of prior 2022 legislation (S. 5299-A and A. 1741-A) from January to July following enactment for policies and contracts issued, renewed, modified, altered or amended on or after that date.

  • Maintains existing health savings account (HSA) compliance provisions under 26 USC 223, allowing third-party payments to count toward deductibles after minimum deductible satisfaction, with exceptions for preventive care services.

Legislative Description

Relates to brand-name drugs with and without an AB generic equivalent; amends the effective date from January to July next succeeding the date on which it shall have become a law.

Last Action

substituted by s1350

3/9/2023

Committee Referrals

Insurance2/6/2023

Full Bill Text

No bill text available