A 6058 (see companion bill S 5474) – New York
Introduced: 2021 Status: In Process
Establishes the New York Health program, a comprehensive system of access to health insurance for New York state residents; provides for administrative structure of the plan; provides for powers and duties of the board of …
A 6465 (see companion bill S 1544) – New York
Introduced: 2023 Status: In Process
Requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care when the patient has a long term relationship with a medical professional who is not a recurring provider under the …
A 653 – New Jersey
Introduced: 2020 Status: Inactive / Dead
Places cap of $100 on amount paid by covered persons for purchase of insulin.
A 710 (see companion bill S 1469 ) – New Jersey
Introduced: 2018 Status: Inactive / Dead
“BREANN’S LAW” REQUIRES HEALTH INSURERS, THE STATE HEALTH BENEFITS PROGRAM AND NJ FAMILYCARE TO PROVIDE “OUT OF NETWORK” COVERAGE FOR CHILDREN WITH CATASTROPHIC ILLNESSES. The bill requires health insurers, as well as the State Health …
A 7129 (see companion bill S 6435) – New York
Introduced: 2021 Status: In Process
Relates to utilization review program standards; requires use of evidence-based and peer reviewed clinical review criteria; relates to prescription drug formulary changes and pre-authorization for certain health care services.
A 7199 – New York
Introduced: 2017 Status: Inactive / Dead
Any policy that provides coverage for prescription drugs and also provides coverage for cancer chemotherapy treatment shall permit each insured to fill any covered prescription under paragraph twelve-a of this subsection that may be obtained …
A 851 – New Jersey
Introduced: 2018 Status: Inactive / Dead
SETS LEVEL FOR HEALTH CARE BENEFITS; REQUIRES EMPLOYEE CONTRIBUTIONS; PROHIBITS REIMBURSEMENT OF MEDICARE PART B; ADDS MEMBER TO SHBP/SEHBP PLAN DESIGN COMMITTEES; REQUIRES RETIREES TO PURCHASE HEALTH CARE THROUGH EXCHANGES. Under the bill, all government …
A 866 – New York
Introduced: 2021 Status: In Process
Directs health insurers to provide enrollees the option to assign the payment of emergency services benefits directly to an out of network health care provider.
A 8781 (see companion bill S 6940) – New York
Introduced: 2017 Status: Inactive / Dead
PHARMACY BENEFIT MANAGERS: Prohibits pharmacy benefit managers from prohibiting pharmacies from disclosing to consumers the cost of prescription medication, the availability of alternative medications or alternative means of purchasing prescription medications; and prohibits pharmacy benefit …
A 954 (see companion bill S 526) – New Jersey
Introduced: 2020 Status: Inactive / Dead
Provides that purchase of insulin is not subject to deductible and requires health insurers to limit copayments and coinsurance for insulin.
A 9893 (see companion bill S 7191A) – New York
Introduced: 2018 Status: Inactive / Dead
RELATES TO ENHANCING PHARMACEUTICAL TRANSPARENCY AND CONSUMER PROTECTION: No contract for pharmacy services entered into in the state between a health insurance carrier or a pharmacy benefit manager and a pharmacy, pharmacist or a pharmacy’s …
AB 1 – Wisconsin
Introduced: 2021 Status: Inactive / Dead
The bill prohibits, until the conclusion of a national emergency declared by the U.S. president in response to the 2019 novel coronavirus or until June 30, 2021, whichever is earlier, a defined network plan, including …
AB 1011 – California
Introduced: 2021 Status: Inactive / Dead
Health care coverage: substance use disorders. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care …
AB 1016 – Wisconsin
Introduced: 2020 Status: Inactive / Dead
Imposing disclosure and billing requirements for certain health care providers, creating an arbitration process, and granting rule-making authority. This bill creates disclosure, notice, billing, and arbitration requirements for the situation in which an enrollee in …
AB 1020 – California
Introduced: 2021 Status: Enacted
Health care debt and fair billing. Existing law requires a hospital to maintain an understandable written policy regarding discount payments for financially qualified patients and an understandable written charity care policy. Existing law requires that …
AB 103 (see companion bill SB 100) – Wisconsin
Introduced: 2023 Status: In Process
Application of prescription drug payments to health insurance cost-sharing requirements. Health insurance policies and plans often apply deductibles and out-of-pocket maximum amounts to the benefits covered by the policy or plan. A deductible is an …