Bill Text: NY S08255 | 2019-2020 | General Assembly | Introduced

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Bill Title: Lowers the cost sharing cap for insulin from one hundred dollars to thirty dollars.

Spectrum: Partisan Bill (Democrat 10-0)

Status: (Engrossed - Dead) 2020-07-22 - referred to insurance [S08255 Detail]

Download: New_York-2019-S08255-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          8255

                    IN SENATE

                                     April 29, 2020
                                       ___________

        Introduced  by Sens. RIVERA, HOYLMAN, KAMINSKY, KRUEGER, SALAZAR -- read
          twice and ordered printed, and when printed to  be  committed  to  the
          Committee on Insurance

        AN  ACT  to amend the insurance law, in relation to capping cost sharing
          for insulin

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  Subparagraph  (B)  of paragraph 15-a of subsection (i) of
     2  section 3216 of the insurance law, as amended by section 1 of  part  DDD
     3  of chapter 56 of the laws of 2020, is amended to read as follows:
     4    (B) Such coverage may be subject to annual deductibles and coinsurance
     5  as may be deemed appropriate by the superintendent and as are consistent
     6  with  those  established  for  other  benefits  within  a  given policy;
     7  provided however, the total amount that a covered person is required  to
     8  pay out of pocket for covered prescription insulin drugs shall be capped
     9  at  an  amount not to exceed [one hundred] thirty dollars per thirty-day
    10  supply, regardless of the amount or type of insulin needed to fill  such
    11  covered  person's  prescription  and regardless of the insured's deduct-
    12  ible, copayment, coinsurance or any other cost sharing requirement.
    13    § 2. Subparagraph (B) of paragraph 7 of subsection (k) of section 3221
    14  of the insurance law, as amended by section 2 of part DDD of chapter  56
    15  of the laws of 2020, is amended to read as follows:
    16    (B) Such coverage may be subject to annual deductibles and coinsurance
    17  as may be deemed appropriate by the superintendent and as are consistent
    18  with  those  established  for  other  benefits  within  a  given policy;
    19  provided however, the total amount that a covered person is required  to
    20  pay out of pocket for covered prescription insulin drugs shall be capped
    21  at  an  amount not to exceed [one hundred] thirty dollars per thirty-day
    22  supply, regardless of the amount or type of insulin needed to fill  such
    23  covered  person's  prescription  and regardless of the insured's deduct-
    24  ible, copayment, coinsurance or any other cost sharing requirement.
    25    § 3. Paragraph 2 of subsection (u) of section 4303  of  the  insurance
    26  law,  as  amended  by section 3 of part DDD of chapter 56 of the laws of
    27  2020, is amended to read as follows:

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD16178-01-0
        S. 8255                             2

     1    (2) Such coverage may be subject to annual deductibles and coinsurance
     2  as may be deemed appropriate by the superintendent and as are consistent
     3  with those  established  for  other  benefits  within  a  given  policy;
     4  provided  however, the total amount that a covered person is required to
     5  pay out of pocket for covered prescription insulin drugs shall be capped
     6  at  an  amount not to exceed [one hundred] thirty dollars per thirty-day
     7  supply, regardless of the amount or type of insulin needed to fill  such
     8  covered  person's  prescription  and regardless of the insured's deduct-
     9  ible, copayment, coinsurance or any other cost sharing requirement.
    10    § 4. This act shall take effect immediately and  shall  apply  to  any
    11  policy or contract issued or renewed on or after January 1, 2021.