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S5783Senate2015-2016 SessionSame asA7885

Relates to payment of bills for pharmaceutical services

Sponsor Jack M. MartinsSD-7Affects Economy
Status
In Senate Committee
Rules
Impact
Pending
Passage
Pending

Bill progress

Step 2 of 7

In committee · Rules

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Who cares

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Sponsors

Primary sponsor
Jack M. Martins

Senator · Senate District 7

Chair, Labor

No co-sponsors yet.

History

  1. Committed to rules
  2. Amended on third reading 5783b
  3. Advanced to third reading
  4. 2nd report cal.
  5. 1st report cal.621
  6. Print number 5783a
  7. Amend and recommit to labor
  8. Referred to labor
  9. Referred to labor

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.

A7885Assembly

Relates to payment of bills for pharmaceutical services

Assembly Floor Calendar · Sponsor Kevin Cahill

Full text

The text isn't available here yet. Check nysenate.gov.

Sponsor's memo

Title of bill

An act to amend the workers' compensation law, in relation to payment of bills for pharmaceutical services

Purpose or general idea of bill

This bill would create parity between pharmacists and physicians under the workers' compensation law by including pharmacists in the prompt pay provision.

Summary of specific provisions

Section 1: Includes pharmacists in the prompt pay provision in the workers' compensation law; this would require insurance carriers to either pay pharmacists or notify them within forty-five days that they will not pay and the reason for their denial. If carriers fail to pay or notify pharmacists within forty-five days, the pharmacists may petition the board to make an award of payment with a 1.5% interest per month. If the carrier notifies the pharmacist of their denial and the reason for the denial, the pharmacists could then request that the bill be sent to arbitration.

Section 2: Authorizes and directs the Workers' Compensation Board to promulgate rules and regulations to implement this act.

Section 3: Effective Date

Justification

The passage of this bill would put pharmacists on a level footing with physicians by requiring insurance companies to either pay the bill or notify the pharmacist why they are refusing to pay within forty-five days of receiving the bill. This will not only aid pharmacists by ensuring they get paid for their services but will also aid claimants in getting timely access to needed medication. This bill further allows for the "bundling" of claims with a common provider, payer and vendor so that arbitration is more efficient and cost effective.

Prior legislative history

New bill.

Fiscal implications for state and local governments

None to the State.

Effective date

This act shall take effect 120 days after enactment, provided that, effective immediately, the addition, amendment, and/or repeal of any rules and regulations necessary to implement the provisions of this act on its effective date are authorized and directed to be completed on or before such effective date.

Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.