---
type: "Bill"
title: "Relates to prescription drug formulary changes during a contract year"
description: "Prohibits health care plans that provide essential benefits under the Affordable Care Act from removing a prescription drug from a formulary or adding new or additional formulary restrictions from a formulary during an enrollment year; requires notice to policy holders of intent to remove a drug from a formulary."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2021-2022"
identifier: "S 4111"
citation: "New York S 4111 (2021-2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["BRESLIN"]
version_count: 1
action_count: 14
vote_count: 3
first_action: "2021-02-02"
last_action: "2021-12-22"
source: "openstates"
source_identifier: "ocd-bill/c9676ef3-a424-448d-b69e-59c2d48181bd"
source_url: "http://www.nysenate.gov/legislation/bills/2021/S4111"
source_hash: "50209597f9080da30b3bb703593c0e3fbe331551039ef186df0cc7bb4f12003a"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ny"]
---

# New York S 4111 (2021-2022) — Relates to prescription drug formulary changes during a contract year

Prohibits health care plans that provide essential benefits under the Affordable Care Act from removing a prescription drug from a formulary or adding new or additional formulary restrictions from a formulary during an enrollment year; requires notice to policy holders of intent to remove a drug from a formulary.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **S4111** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=S4111&term=2021&Text=Y)

## Votes

- Insurance Vote — **11–0** (pass) · upper
- Floor Vote — **53–9** (pass) · upper
- Assembly Vote — **147–0** (pass) · lower

## Sponsors

- BRESLIN — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-02** REFERRED TO INSURANCE `referral-committee`
- **2021-03-16** 1ST REPORT CAL.574
- **2021-03-17** 2ND REPORT CAL.
- **2021-03-18** ADVANCED TO THIRD READING
- **2021-04-27** PASSED SENATE `passage`
- **2021-04-27** DELIVERED TO ASSEMBLY
- **2021-04-27** REFERRED TO INSURANCE `referral-committee`
- **2021-05-19** SUBSTITUTED FOR A4668
- **2021-05-19** ORDERED TO THIRD READING CAL.361
- **2021-05-26** PASSED ASSEMBLY `passage`
- **2021-05-26** RETURNED TO SENATE
- **2021-12-10** DELIVERED TO GOVERNOR `executive-receipt`
- **2021-12-22** SIGNED CHAP.780 `executive-signature`
- **2021-12-22** APPROVAL MEMO.136

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c9676ef3-a424-448d-b69e-59c2d48181bd`. Confidence: reported (aggregated from official New York legislature records).