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CA AB1917

Bill

Status

Engrossed

5/28/2014

Primary Sponsor

Richard Gordon

Click for details

Origin

State Assembly

2013-2014 Session

AI Summary

  • Limits cost sharing for covered outpatient prescription drugs in health care service plans and health insurance policies to 1/12 of the annual out-of-pocket limit for a 30-day supply of drugs without time-limited treatment or with treatment courses exceeding 3 months.

  • Limits cost sharing for prescription drugs with time-limited courses of treatment of 3 months or less to 1/2 of the annual out-of-pocket limit for the duration of treatment.

  • Applies to individual health care service plan contracts and health insurance policies issued, amended, or renewed on or after January 1, 2016, and group contracts issued, amended, or renewed on or after July 1, 2015.

  • Exempts Medicare coverage, grandfathered plans, high deductible health plans before deductible satisfaction, and specialized plans that do not offer essential health benefits.

  • Does not require state reimbursement to local agencies or school districts since any costs result from creating new criminal penalties under existing law.

Legislative Description

Outpatient prescription drugs: cost sharing.

Last Action

Ordered to inactive file at the request of Senator Hernandez.

8/28/2014

Committee Referrals

Appropriations6/23/2014
Health6/5/2014
Rules5/28/2014
Appropriations5/6/2014
Health3/3/2014

Full Bill Text

No bill text available