AN ACT RELATING TO INSURANCE -- PRESCRIPTION DRUG BENEFITS
Limits health plans that provide coverage for prescription insulin drugs used to treat diabetes to forty dollars ($40.00) for a copayment for a thirty (30) day supply of medically necessary insulin. Effective date 1/1/2022.
SECTION 1. Chapter 27-20.8 of the GeneralLaws entitled "Prescription Drug Benefits"is hereby amended by adding thereto the following section:
27-20.8-3. Co-pay cap for prescription insulin.
(a)Asusedinthissection,unlessthecontextotherwiserequires,"prescriptioninsulindrug" meansaprescriptiondrug,asdefined in §21-31-2,thatcontainsinsulinandisusedtotreatdiabetes.
(b) A carrier that provides coverage for prescription insulin drugs pursuant tothe terms of a health coverage plan the carrier offers shallcapthe total amount thata coveredperson is required to pay for a coveredprescription insulin drug atanamount not to exceedfifty dollars ($50.00), per thirty (30) day supply of insulin, regardless of the amount or type of insulin needed to fill the covered person's prescription. Coverage for prescription insulin drugs shall not be subject to any deductible.
(c) Nothing in this section prevents a carrier fromreducing a coveredperson's cost sharing to an amount less than the amount specified in subsection (b) of this section.
(d)The healthinsurancecommissioner mayuse any of their enforcementpowers to obtain a carrier's compliance with this section.
(e) The commissioner may promulgate rules as necessary to implement and administer this section and to align with federalrequirements.
SECTION 2. This act shalltake effect on January 1, 2022. ======== LC000335 ========
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BY THE LEGISLATIVE COUNCIL
A N A C T
RELATING TO INSURANCE – PRESCRIPTION DRUG BENEFITS
This actwould provide that health insurance carriers thatprovide coverage for prescription insulin drugs usedto treatdiabetes shall only be allowed to charge up to fifty ($50.00) dollars for a copayment for a thirty (30) day supply of insulin regardless of the amount or type of insulin needed to fill the covered person's prescription. Coverage for prescription insulin would not be subject to any deductible.
This act would take effect on January 1, 2022. ======== LC000335 ========
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