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NY A01428

Bill

Status

Introduced

1/9/2025

Primary Sponsor

Phara Souffrant Forrest

Click for details

Origin

Assembly

2025-2026 General Assembly

AI Summary

  • Requires health insurers to cover brand name prescription drugs when an FDA-recognized drug shortage or supply disruption affects the generic equivalent on their formulary

  • Coverage mandate applies when the generic drug is unavailable, the dosage cannot be adjusted, and the insured is already receiving the generic or has a condition requiring the medication

  • Brand name drugs must be covered at the same cost-sharing level as the generic would have been covered under the insurer's formulary

  • Coverage continues until the supply issue is resolved and the drug is removed from the FDA's shortage list

  • Amends Insurance Law sections 3242 and 4329 to apply these requirements to both general insurers and health corporations, effective immediately

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

1/7/2026

Committee Referrals

Insurance1/9/2025

Full Bill Text

No bill text available