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NY A10185

Bill

Status

Introduced

5/10/2024

Primary Sponsor

Phara Souffrant Forrest

Click for details

Origin

Assembly

2023-2024 General Assembly

AI Summary

  • Amends Insurance Law sections 3242 and 4329 to require insurers and health corporations to cover brand name prescription drugs at the same cost-sharing level as generic drugs when an AB-rated generic equivalent is unavailable due to a federal FDA-recognized drug shortage.

  • Applies only to eligible prescription drugs (FDA-approved, not under patent) where the generic equivalent cannot be substituted due to dosage adjustment limitations and the shortage has been officially recognized by the FDA under 21 U.S.C. 356e.

  • Requires coverage for insured individuals who are already receiving the drug as a generic equivalent or have been diagnosed with a condition prior to the plan year that is treated by the drug.

  • Brand name drug coverage requirement continues until the supply issue is resolved and the drug is removed from the FDA's shortage list.

  • Takes effect immediately upon enactment.

Legislative Description

Requires insurers to cover the substitution of a brand name prescription drug when the federal food and drug administration has declared that there is a supply issue with a generic drug.

Last Action

referred to insurance

5/10/2024

Committee Referrals

Insurance5/10/2024

Full Bill Text

No bill text available