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NY A10185
Bill
Status
5/10/2024
Primary Sponsor
Phara Souffrant Forrest
Click for details
AI Summary
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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.
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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.
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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.
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Brand name drug coverage requirement continues until the supply issue is resolved and the drug is removed from the FDA's shortage list.
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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