What's happening
Writing a plain-English summary… Track this bill to get it by email.
Why it matters
Albany, before your first meeting.
Every bill that moved yesterday, summarized in a sentence and ranked by impact. The Albany Scorecard follows on Sundays.
Free. Unsubscribe in one click. Want alerts on specific bills? Create an account.
Who cares
Headline styles
Sponsors
1 Co-sponsor
History
- Referred to insurance
- 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.
Relates to the purchase of fertility drugs through mail order pharmacies
In Assembly Committee · Insurance · Sponsor Sheldon Silver
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:S5851
Title of bill
An act to amend the insurance law, in relation to the purchase of fertility drugs through mail order pharmacies
Purpose
To clarify the terms and conditions expected of non-mail order retail pharmacies in relation to reimbursement for fertility drugs.
Summary of provisions
Section one amends section 3216 of the Insurance Law providing that the terms and conditions of an agreement between an insurer and a non-mail order retail pharmacy shall not be inconsistent with the terms and conditions of agreements with network participating mail order pharma- cies in 2009. The provisions include exceptions for new products enter- ing the market place; updated manufacturer guidelines; or as required by state and federal law.
Section two amends section 3221 of the Insurance Law providing that the terms and conditions of an agreement between an insurer and a non-mail order retail pharmacy shall not be inconsistent with the terms and conditions of agreements with network participating mail order pharma- cies in 2009. The provisions include exceptions for new products enter- ing the market place; updated manufacturer guidelines; or as required by state and federal law.
Section three amends 4303 of the Insurance Law providing that the terms and conditions of an agreement between an insurer and a non-mail order retail pharmacy shall not be inconsistent with the terms and conditions of agreements with network participating mail order pharmacies in 2009. The provisions include exceptions for new products entering the market place; updated manufacturer guidelines; or as required by state and federal law.
Section four, effective date.
Existing law
Sections 3216, 3221 and 4303 of the insurance law currently requires insurance plans to reimburse local pharmacies for the provision of fertility drugs in the same manner they do mail order pharmacies, provided the local pharmacy agrees in advance to the same reimbursement amount and the same terms and conditions the insurer has established for a network participating mail order pharmacy.
Justification
This bill amends provisions enacted in 2011, that require insurance plans to reimburse local pharmacies for the provision of fertility drugs in the same manner they do mail order pharmacies, to clarify that the terms and conditions that must be met by the non-mail order retail pharmacy are the terms and conditions that were in place prior to the enactment of Chapter 598.
Legislative history
New Bill
Fiscal implications
New Bill
Local fiscal implications
None
Effective date
Immediately
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.