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S2128

An act to amend the Insurance Law — 2026-02-24 · Calendar #298

The New York State Senate passed S2128, an insurance law amendment requiring that more than 85 percent of prescription drug rebates be delivered directly to patients at the point of sale, by a vote of 55-1 on Calendar Number 298. Sponsor Sen. Jackson argued the bill addresses a fundamental fairness issue, noting that billions of dollars in rebates flow through the pharmaceutical supply chain annually while patients with chronic and complex conditions pay cost-sharing based on inflated list prices. Jackson characterized the current system as cost-shifting that concentrates burden on the sickest patients rather than spreading risk as insurance was designed to do. He stated the legislation strikes a responsible balance by allowing health plans to stabilize premiums while ensuring meaningful savings reach patients at the pharmacy counter. Only Sen. Walczyk voted in opposition. The bill takes effect immediately.
Passed Senate Ayes: 55 · Nays: 1

Debate Summary

Sen. Jackson argued that the bill ensures prescription drug rebates negotiated in patients' names are delivered directly to patients at the point of sale, requiring that more than 85 percent of rebates reach patients rather than being retained by insurers and pharmacy benefit managers. He characterized the current system as cost-shifting that disproportionately burdens patients with chronic and complex conditions who pay cost-sharing based on inflated list prices while billions in rebates flow through the supply chain. Jackson framed the legislation as a matter of fairness and transparency that strikes a responsible balance by allowing plans to stabilize premiums while ensuring meaningful savings reach patients.

Recorded Votes

Individual vote records shown here are captured from roll call mentions in floor transcripts. Because most bills pass with unanimous or near-unanimous ayes, only dissenting (nay) votes are typically read into the record — so the table below skews toward no votes. The full tally (ayes/nays above) reflects the official count.

Senator Vote Party
Walczyk nay Republican