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Who cares
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Sponsors
History
- Print number 7025a
- Amend and recommit to health
- Referred to health
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 establishing a pharmacy benefit manager contract appeals process
In Assembly Committee · Ways And Means · Sponsor Linda Rosenthal
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:S7025A
Title of bill
An act to amend the public health law, in relation to pharmacy benefit managers
Purpose
Requires contracts between pharmacy benefit managers and pharmacies to include a reasonable appeals process.
Summary of provisions
Section one adds a new section 280-a to the Public Health Law.
Section two sets forth the effective date.
Justification
Pharmacy benefit managers (PBMs) are health providers or entities that manage prescription drug program services for healthcare benefit providers. Services include the procurement of prescription drugs to be dispensed to patients or the administration or management of prescription drug benefits.
The Maximum Allowable Cost (MAC) list, is an industry generated price index that lists the maximum amount that a prescription plan will reimburse for generic drugs or multi-source brand names. Since there is no standardization in place or clear methodology on how PBMs generate the MAC list, PBMs have unfettered control to charge their clients prices that may not reflect market demand. This bill would establish a formal appeals process in which a provider could contest a listed product on a MAC list.
Legislative history
New bill.
Fiscal implications
Undetermined.
Effective date
This act shall take effect on the ninetieth day after it shall have become law and shall apply to any contract providing for pharmacy benefit management made or renewed 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.