New York 2025-2026 Regular Session

New York Assembly Bill A10413

Introduced
3/3/26  
Refer
3/3/26  
Report Pass
5/12/26  

Caption

Relates to access to prescription medication and coordination with workers' compensation board regulations governing network pharmacy use

Impact

The legislation establishes clear and objective standards that aim to reduce disputes and litigation regarding medication access, thereby preserving administrative efficiency within the workers' compensation system. By allowing claimants more freedom to choose their pharmacies, the bill intends to enhance medication access and ensure that injured workers receive their treatments promptly. It also maintains the Workers' Compensation Board's authority to adapt to evolving healthcare practices relating to medication delivery.

Summary

Bill A10413 aims to amend the workers' compensation law to ensure timely access to necessary prescription medications for injured workers. It addresses concerns over delays in medication authorization and dispensing that could lead to increased pain, medical complications, and costs in the healthcare system. The bill seeks to codify existing regulations from the Workers' Compensation Board that allow injured workers to obtain medications from out-of-network pharmacies when contracted ones fail to provide the medication within stipulated timeframes.

Contention

While the bill garners support for enabling better access to prescription medications, there may be points of contention regarding the financial implications for employers and insurance carriers, who may face increased costs due to mandated access to out-of-network pharmacies. Concerns may also arise about the potentially expanding authority of the Workers' Compensation Board in matters concerning pharmacy regulations and how those regulations might interact with pre-existing laws and standards in the healthcare sector.

Companion Bills

NY S09331

Same As Codifies certain regulations of the workers' compensation board relating to access to prescription medication and coordination with workers' compensation board regulations governing network pharmacy use; requires the workers' compensation board to file a report on out-of-network pharmacy use within 3 years of the effective date.

Previously Filed As

NY S09331

Codifies certain regulations of the workers' compensation board relating to access to prescription medication and coordination with workers' compensation board regulations governing network pharmacy use; requires the workers' compensation board to file a report on out-of-network pharmacy use within 3 years of the effective date.

NY HB1119

Labor and industrial relations; pharmacy care guidelines and pharmacy management networks under workers' compensation; provide

NY SB306

Workers' Compensation - Prescription Drug and Pharmaceutical Services - Reimbursements

NY S09985

Enacts the "foreign drug transparency act" to provide information on the origin, manufacture and distribution of prescription drugs; requires a pharmacy benefit manager to maintain, and make available to pharmacies, health plans, and patients upon request, supply chain information for prescription drugs covered under its network.

NY A10967

Enacts the "foreign drug transparency act" to provide information on the origin, manufacture and distribution of prescription drugs; requires a pharmacy benefit manager to maintain, and make available to pharmacies, health plans, and patients upon request, supply chain information for prescription drugs covered under its network.

NY HB2813

pharmacy benefits; workers' compensation

NY SB1354

Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.

NY HB2978

Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.

NY HB2429

Pharmacy benefits; pharmacy management networks

NY HB1531

To Prohibit Pharmaceutical Manufacturers From Restricting Or Limiting Prescription Medications To A Limited Distribution Network Of Out-of-state Pharmacies.

Similar Bills

No similar bills found.