Bill Text: NY S03222 | 2023-2024 | General Assembly | Introduced


Bill Title: Establishes an emergency insulin program and corresponding emergency insulin program trust fund to facilitate emergency access to analog insulins.

Spectrum: Partisan Bill (Democrat 6-0)

Status: (Introduced) 2024-01-03 - REFERRED TO HEALTH [S03222 Detail]

Download: New_York-2023-S03222-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          3222

                               2023-2024 Regular Sessions

                    IN SENATE

                                    January 30, 2023
                                       ___________

        Introduced by Sens. RIVERA, GOUNARDES, KRUEGER, MYRIE, PERSAUD, SEPULVE-
          DA -- read twice and ordered printed, and when printed to be committed
          to the Committee on Health

        AN  ACT  to  amend  the  public health law and the state finance law, in
          relation to an emergency insulin program

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

     1    Section  1.  The  public health law is amended by adding a new article
     2  28-CC to read as follows:
     3                                ARTICLE 28-CC
     4                          EMERGENCY INSULIN PROGRAM
     5  Section 2894. Emergency insulin program.
     6    § 2894. Emergency insulin program. 1. The commissioner  is  authorized
     7  and  directed  to  establish an emergency insulin program to ensure that
     8  recipients of the program can access emergency supplies of analog  insu-
     9  lins  and  related supplies.   The commissioner shall immediately engage
    10  analog insulin manufacturers to support the state program and facilitate
    11  quick access to affordable analog insulins in emergency situations.  The
    12  commissioner  shall  establish  standards  for approval of any emergency
    13  insulin program, and analog insulin  prescribing,  dispensing,  distrib-
    14  ution,  and  possession  pursuant to this section which may include, but
    15  not be limited to, standards for program directors, appropriate clinical
    16  oversight, training, record keeping and reporting. The emergency insulin
    17  program shall, pursuant to an appropriation or sufficient funds  in  the
    18  emergency  insulin  program  trust  fund,  be available to recipients no
    19  later than April first, two thousand twenty-four.
    20    2. (a) As used in this section:
    21    (i) "Analog insulins" means at a minimum  short-acting,  rapid-acting,
    22  intermediate and long acting insulin drugs approved by the Food and Drug
    23  Administration  that, when administered, to certain recipients are life-
    24  saving, and help avoid serious adverse effects associated with type  one

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD05256-01-3

        S. 3222                             2

     1  diabetes  and in some limited cases type two diabetes, and other medica-
     2  tions and supplies approved by the department for such purpose.
     3    (ii) "Health care professional" means a person licensed, registered or
     4  authorized  pursuant  to  title  eight of the education law to prescribe
     5  prescription drugs.
     6    (iii) "Pharmacist" means a person licensed or authorized  to  practice
     7  pharmacy  pursuant  to article one hundred thirty-seven of the education
     8  law.
     9    (iv) "Recipient" means a person: (1) diagnosed with type one diabetes,
    10  or type two insulin dependent diabetes; and (2) who is at risk of  expe-
    11  riencing  serious  adverse  health effects due to a lack of analog insu-
    12  lins; and (3) who is uninsured or underinsured; or (4)  an  organization
    13  registered as an emergency insulin program pursuant to this section.
    14    (b)(i)  A health care professional may prescribe by a patient-specific
    15  or non-patient-specific prescription, dispense or  distribute,  directly
    16  or indirectly, analog insulins to a recipient.
    17    (ii) A pharmacist may dispense analog insulins, through a patient-spe-
    18  cific  or  non-patient-specific prescription pursuant to this paragraph,
    19  to a recipient.
    20    (iii) The provisions of this paragraph shall not be deemed to  require
    21  a  prescription  for any analog insulins that do not otherwise require a
    22  prescription; nor shall it be deemed to limit the authority of a  health
    23  care  professional to prescribe, dispense or distribute, or of a pharma-
    24  cist to dispense, analog insulins under any other provision of law.
    25    (iv) Any pharmacy with twenty or more locations in the state, and  any
    26  facility  established  pursuant  to article twenty-eight of this chapter
    27  which has a drug discount program authorized  by  section  340B  of  the
    28  Federal  Public Health Service act 42 U.S.C § 256b shall pursue or main-
    29  tain a non-patient-specific prescription with an authorized health  care
    30  professional to dispense analog insulins to a recipient upon request, as
    31  authorized by this section; and register with the department as an emer-
    32  gency  insulin program no later than January first, two thousand twenty-
    33  four.
    34    3. Use or dispensing of analog insulins pursuant to this section shall
    35  be considered first aid or emergency treatment for the  purpose  of  any
    36  statute relating to liability.
    37    4.  The commissioner shall immediately begin to work with analog insu-
    38  lin manufacturers in creating such program to ensure  they  are  working
    39  with  the  state  in a public-private partnership to support the state's
    40  streamlined emergency insulin program that may replicate patient support
    41  programs such manufacturers have.  A manufacturer may contribute to  the
    42  program  through  the  emergency  insulin program trust fund established
    43  pursuant to section ninety-five-1 of the state finance law.
    44    5. The commissioner may establish a sliding scale for cost sharing for
    45  certain recipients which shall not exceed  one  hundred  dollars  for  a
    46  thirty-day supply of analog insulins and related supplies.
    47    6.  The  commissioner  shall publish findings on the emergency insulin
    48  program including but not limited to the number of programs established,
    49  the number of recipients served, the types and amounts of  analog  insu-
    50  lins  provided,  the  costs and savings associated with the program, and
    51  what public-private partnerships the state has  facilitated  to  support
    52  this  program  to the governor and the chairs of the senate and assembly
    53  health committees within one year of the effective date of this  article
    54  and every two years thereafter.
    55    §  2. The state finance law is amended by adding a new section 95-1 to
    56  read as follows:

        S. 3222                             3

     1    § 95-1. Emergency insulin program  trust  fund.  1.  There  is  hereby
     2  established  in  the  joint  custody  of  the  state comptroller and the
     3  commissioner of taxation and finance a special fund to be known  as  the
     4  "emergency insulin program trust fund".
     5    2.  Such fund shall consist of all monies appropriated for its purpose
     6  and all monies received, or to be paid into or credited to such fund  by
     7  analog  insulin  manufacturers  pursuant  to subdivision four of section
     8  twenty-eight hundred ninety-four of the  public  health  law.    Nothing
     9  contained  herein  shall  prevent  the state from receiving assessments,
    10  grants, gifts or bequests for the purposes of the  fund  as  defined  in
    11  this section and depositing them into the fund according to law.
    12    3.  Monies of the fund shall be expended only to support the emergency
    13  insulin program established pursuant to article twenty-eight-CC  of  the
    14  public  health  law  administered  by the commissioner of health and for
    15  funding emergency access to analog insulins.
    16    4. Monies shall be payable from the fund on the audit and  warrant  of
    17  the  comptroller  on vouchers approved and certified by the commissioner
    18  of health.
    19    § 3. This act shall take effect immediately.
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