S 5939 NY
Relates to payments by a pharmacy benefit manager to participating pharmacies
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Summary
This bill establishes minimum payment requirements for pharmacy benefit managers when compensating participating pharmacies. Pharmacy benefit managers must pay pharmacies at least the national average drug acquisition cost (NADAC) rate, or the pharmacy's actual acquisition cost if that is higher, or use the pharmacy acquisition cost when no NADAC rate is available. In addition to the drug cost reimbursement, the bill requires pharmacy benefit managers to pay a professional dispensing fee that is at least equal to the rate paid under New York's state medical assistance program. The bill aims to establish floor prices for pharmacy reimbursement. Specific details about exemptions or special circumstances are not included in the available summary.
AI-generated plain-language summary of the bill (from the OpenStates abstract — no full text available yet) — neutral, and may be imperfect.
Official abstract
Requires a pharmacy benefit manager to pay a participating pharmacy at minimum at the national average drug acquisition cost (NADAC) rate, or at the pharmacy acquisition cost rate if greater or there is not a NADAC rate, plus a professional dispensing fee that is at minimum the professional dispensing fee paid under the state medical assistance program.
Sponsor (1)
- James Skoufis Democratic · primary
19 coauthors / cosponsors
- Joseph P. Addabbo Jr. Democratic · cosponsor
- Siela Bynoe Democratic · cosponsor
- Jeremy Cooney Democratic · cosponsor
- Patricia Fahy Democratic · cosponsor
- Nathalia Fernandez Democratic · cosponsor
- Patrick M. Gallivan Republican · cosponsor
- Joseph A. Griffo Republican · cosponsor
- Michelle Hinchey Democratic · cosponsor
- Robert Jackson Democratic · cosponsor
- John Liu Democratic · cosponsor
- Jack M. Martins Republican · cosponsor
- Shelley Mayer Democratic · cosponsor
- Steve Rhoads Republican · cosponsor
- Gustavo Rivera Democratic · cosponsor
- Christopher Ryan Democratic · cosponsor
- Julia Salazar Democratic · cosponsor
- Jessica Scarcella-Spanton Democratic · cosponsor
- Toby Ann Stavisky Democratic · cosponsor
- Lea Webb Democratic · cosponsor
Action history (30)
- Mar 4, 2025 REFERRED TO HEALTH · upper
- Jun 6, 2025 AMEND AND RECOMMIT TO HEALTH · upper
- Jun 6, 2025 PRINT NUMBER 5939A · upper
- Jun 8, 2025 AMEND AND RECOMMIT TO HEALTH · upper
- Jun 8, 2025 PRINT NUMBER 5939B · upper
- Jun 12, 2025 COMMITTEE DISCHARGED AND COMMITTED TO RULES · upper
- Jun 12, 2025 ORDERED TO THIRD READING CAL.1985 · upper
- Jun 13, 2025 PASSED SENATE · upper
- Jun 13, 2025 DELIVERED TO ASSEMBLY · upper
- Jun 13, 2025 REFERRED TO HEALTH · lower
- Jan 7, 2026 DIED IN ASSEMBLY · lower
- Jan 7, 2026 RETURNED TO SENATE · lower
- Jan 7, 2026 REFERRED TO HEALTH · upper
- Feb 9, 2026 1ST REPORT CAL.305 · upper
- Feb 10, 2026 2ND REPORT CAL. · upper
- Feb 11, 2026 ADVANCED TO THIRD READING · upper
- Feb 24, 2026 PASSED SENATE · upper
- Feb 24, 2026 DELIVERED TO ASSEMBLY · upper
- Feb 24, 2026 REFERRED TO INSURANCE · lower
- Mar 11, 2026 RECALLED FROM ASSEMBLY · upper
- Mar 11, 2026 RETURNED TO SENATE · lower
- Mar 11, 2026 VOTE RECONSIDERED - RESTORED TO THIRD READING · upper
- Mar 11, 2026 AMENDED ON THIRD READING 5939C · upper
- May 28, 2026 REPASSED SENATE · upper
- May 28, 2026 RETURNED TO ASSEMBLY · upper
- May 28, 2026 REFERRED TO WAYS AND MEANS · lower
- Jun 4, 2026 SUBSTITUTED FOR A5882C · lower
- Jun 4, 2026 ORDERED TO THIRD READING RULES CAL.483 · lower
- Jun 5, 2026 PASSED ASSEMBLY · lower
- Jun 5, 2026 RETURNED TO SENATE · lower
Full text
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