A 2340 – New York
Introduced: 2021 Status: In Process
Requires pharmacies to provide customers directly with the retail (before insurance) price of a prescription, in writing and electronically prior to purchase.
A 2385 – New Jersey
Introduced: 2018 Status: Inactive / Dead
“HEALTHCARE DISCLOSURE AND TRANSPARENCY ACT.” Providers of health benefits plans must disclose in writing to a covered person, at the time of enrollment in the plan and upon request thereafter, the reimbursement methodology that the …
A 2431 (see companion bill S 1865) – New Jersey
Introduced: 2018 Status: Enacted
LIMIT PATIENT COST-SHARING AND PROVIDE APPEAL PROCESS CONCERNING CERTAIN PRESCRIPTION DRUG COVERAGE: Requires certain health insurers, under certain policies or contracts that provide coverage for prescription drugs, to place limitations on covered persons’ cost sharing …
A 2839 (see companion bill S 1614) – New Jersey
Introduced: 2022 Status: In Process
This bill places a flat cap on the out-of-pocket contribution for any covered person prescribed insulin, an epinephrine auto-injector device, or a prescription asthma inhaler across insurance providers. Coverage for these items may not be …
A 289 (see companion bill S 2121) – New York
Introduced: 2021 Status: In Process
Relates to enhancing coverage and care for medically fragile children; requires that health plans adopt policies and procedures tailored to the unique healthcare needs of this population.
A 298 (see companion bill S 2134) – New York
Introduced: 2017 Status: Inactive / Dead
Expands health insurance coverage of physical and occupational therapy services by limiting co-payments and regulating visit limitations; expands coverage of early intervention services; expands utilization review of health insurance coverage for medically necessary care
A 3 (see companion bill S 3) – New Jersey
Introduced: 2023 Status: Enacted
Revises income eligibility criteria for PAAD and Senior Gold Prescription Discount Program
A 3007C – New York
Introduced: 2021 Status: Enacted
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2021-2022 state fiscal year; extends the medicaid global cap; requires a quarterly report on certain medicaid …
A 3347 – New Jersey
Introduced: 2018 Status: Inactive / Dead
HEALTH CARE CONSUMER’S OUT-OF-NETWORK PROTECTION, TRANSPARENCY, COST CONTAINMENT AND ACCOUNTABILITY ACT. Because the bill requires disclosure of network status by all physicians and health care facilities, it requires third party administrators to notify every physician …
A 3379 (replaced by companion bill S 1878) – New Jersey
Introduced: 2018 Status: Inactive / Dead
NEW JERSEY HEALTH INSURANCE PREMIUM SECURITY ACT. Directs the Commissioner of Banking and Insurance to apply for a federal waiver of certain provisions of the Affordable Care Act to support a reinsurance program to help …
A 3693 (see companion bill S 1350) – New York
Introduced: 2023 Status: Enacted
Relates to brand-name drugs with and without an AB generic equivalent; amends the effective date from January to July next succeeding the date on which it shall have become a law. Sections 1-3 provide that …
A 3779 – New York
Introduced: 2021 Status: In Process
Relates to the New York state of health transparency act; requires certain information be listed on the New York state of health marketplace for each plan.
A 3815 (see companion bill S 2145) – New Jersey
Introduced: 2020 Status: Inactive / Dead
Allows health maintenance organizations to include charity care assessments for purposes of meeting certain loss ratio requirements. This bill allows health maintenance organizations to include the amounts that the health maintenance organizations remit as part …
A 3816 – New York
Introduced: 2023 Status: In Process
Requires health insurers to offer coverage of health care provided by out-of-network providers.
A 3993 (see companion bill S 2690; combined with A 2214) – New Jersey
Introduced: 2018 Status: Inactive / Dead
PROHIBITS PHARMACY BENEFIT MANAGERS FROM COLLECTING “CLAWBACK” COPAYMENTS; PROHIBITS “GAG CLAUSES” IN CONTRACTS WITH PHARMACISTS; PROVIDES CERTAIN PENALTES. A pharmacy benefits manager, in connection with any contract or arrangement with a private health insurer, prescription …
A 4041 (see ompanion bill S 2438) – New Jersey
Introduced: 2018 Status: Inactive / Dead
Would prohibit “gag clauses” by requiring a pharmacy benefits manager to include in any contract between the pharmacy benefits manager and a pharmacy in the State, language that permits the pharmacy to disclose to a …