Loading chat...
NY A08136
Bill
Status
5/1/2025
Primary Sponsor
David Weprin
Click for details
AI Summary
-
Authorizes health insurance policies with prescription drug coverage to offer programs that use rebates or discounts to reduce an insured's out-of-pocket costs for medications when the reduced amount would be more favorable than standard cost-sharing tiers
-
Applies to individual policies, group policies, medical expense indemnity corporations, hospital service corporations, health service corporations, and health maintenance organizations
-
Programs utilizing rebates or discounts shall not be classified as a separate tier of drug cost-sharing under existing insurance law limitations
-
Requires insurers to describe the program in the policy or contract, though they may direct insureds to a website for additional details about reduced cost-sharing amounts
-
Takes effect January 1, 2026 and applies to policies issued, renewed, modified, altered, or amended on or after that date
Legislative Description
Authorizes insurance policies which provide coverage for prescription drugs where cost-sharing obligations are determined by category of prescription drugs to offer a program to insureds that utilizes rebates or discounts to lower an insured's cost-sharing for prescription drugs if the insured's cost-sharing under such program would be more favorable than the cost-sharing that would otherwise be applicable to the prescription drug.
Last Action
referred to insurance
1/7/2026