New York A05282 amends insurance, social services, and education laws to enhance prescription drug coverage and synchronization.

New York A05282 amends the insurance law to ensure access to appropriate drugs at reasonable prices, establish formulary exceptions, and set standing prior authorizations and external appeals. It mandates that health maintenance organizations cover off-formulary drugs if no formulary drug is effective. The bill also revises the insurance law to allow prescription synchronization, limit patient drug costs, and require explanations of benefits and rebates.

New York A05282 amends insurance, social services, and education laws to enhance prescription drug coverage and synchronization.

New York A05282 amends the insurance law to ensure access to appropriate drugs at reasonable prices, establish formulary exceptions, and set standing prior authorizations and external appeals. It mandates that health maintenance organizations cover off-formulary drugs if no formulary drug is effective. The bill also revises the insurance law to allow prescription synchronization, limit patient drug costs, and require explanations of benefits and rebates.