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AZ SB1594
Bill
Status
2/15/2011
Primary Sponsor
Nancy Barto
Click for details
AI Summary
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Prohibits corporations (health insurance), health care services organizations (HMOs), and disability insurers from reclassifying biologics or plasma-derived prescription drugs to a different tier of a multitiered drug formulary during the contract or policy term.
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Requires 60 days' advance notice to subscribers/enrollees/insureds if an insurer plans to reclassify biologics or plasma-derived drugs to a different formulary tier in a subsequent contract or policy term.
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Amends sections 20-841.05 and 20-1057.02 to add the new restrictions on biologic and plasma-derived drug reclassification for health insurance corporations and health care services organizations.
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Adds new sections 20-1342.07, 20-1402.05, and 20-1404.05 to extend the same reclassification restrictions to disability insurers, group disability insurers, and blanket disability insurers.
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Maintains existing exemptions and provisions regarding deductibles, coinsurance, multitiered benefit plans without authorization requirements, and authorization processes for nonformulary drugs.
Legislative Description
Prescription drugs; multitiered formularies
Last Action
Senate BI Committee action: Held
2/15/2011