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S2128

Sponsored by Robert Jackson D

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.

Roll Call — Official API Data

Full roll call from the Open Legislation API. Every senator's recorded vote is shown.

Senator Vote Party District
ADDABBO AYE
ASHBY AYE
BAILEY AYE
BASKIN AYE
BORRELLO AYE
BOTTCHER AYE
BRISPORT AYE
BYNOE AYE
CANZONERI-FITZPATRICK AYE
CHAN AYE
CLEARE AYE
COMRIE AYE
COONEY AYE
FAHY AYE
FERNANDEZ AYE
GIANARIS AYE
GONZALEZ AYE
GOUNARDES AYE
HARCKHAM AYE
HELMING AYE
HINCHEY AYE
JACKSON AYE
KAVANAGH AYE
KRUEGER AYE
LIU AYE
MARTINEZ AYE
MARTINS AYE
MATTERA AYE
MAY AYE
MAYER AYE
MURRAY AYE
MYRIE AYE
O'MARA AYE
OBERACKER AYE
ORTT AYE
PALUMBO AYE
PARKER AYE
PERSAUD AYE
RAMOS AYE
RHOADS AYE
RIVERA AYE
ROLISON AYE
RYAN C AYE
SALAZAR AYE
SANDERS AYE
SERRANO AYE
SKOUFIS AYE
STAVISKY AYE
STEC AYE
STEWART-COUSINS AYE
SUTTON AYE
TEDISCO AYE
WEBB AYE
WEBER AYE
ZELLNER AYE
BROUK EXC
GALLIVAN EXC
GRIFFO EXC
LANZA EXC
SCARCELLA-SPANTON EXC
SEPULVEDA EXC
WEIK EXC
WALCZYK NAY

Transcript Mentions

These votes were extracted from the floor transcript by AI. NYS Senate roll calls are read in full, but AI extraction may not capture every senator — so this list is incomplete and skews toward named dissenting votes. Use the Official API Data table above for the complete roll call.

Senator Vote Party
Walczyk nay Republican