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Who cares
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Sponsors
No co-sponsors yet.
History
- Substituted by A7779
- Ordered to third reading cal.1489
- Referred to rules
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Requires insurance coverage for prescription fertility drugs purchased at non-mail order pharmacies to be the same as for prescription fertility drugs purchased at mail order pharmacies
Signed by Governor · Sponsor Sheldon Silver
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:S5799
Title of bill
An act to amend the insurance law, in relation to the purchase of prescription drugs
Purpose or general idea of bill
The purpose of this bill is to ensure that fertility drugs may be purchased locally without additional financial burden to the insured person.
Summary of specific provisions
This bill would amend the insurance law with respect to HMOs, and individual, group and not-for-profit insurance policies by requiring all policies that provide coverage for fertility drugs and require or permit a mail order pharmacy benefit to cover prescription fertility drugs purchased at a non-mail order pharmacy without any additional cost sharing to the covered individual.
Justification
In an effort to streamline the delivery of prescription drugs while maintaining the affordability of coverage, many health insurance policies require or incentivize the use of a mail order pharmacy. Nevertheless, the effectiveness of many fertility drugs relies on a strict treatment regimen that is often difficult or impossible to maintain when using a mail order pharmacy. Shipping and processing delays may impair these drugs' ability to produce the desired effect at a cost to both insureds and insurance companies themselves. This bill would ensure that individuals with prescription drug coverage have an equal opportunity to purchase fertility drugs from either a mail order or non-mail order pharmacy.
Prior legislative history
New Bill.
Fiscal implications for state and local governments
None.
Effective date
Thirty days following enactment and shall apply to all policies and contracts issued, renewed, modified, altered or amended on or after such effective date.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.