CT HB05251

Limits out-of-pocket expenses for prescription drugs in individual health insurance policies to a maximum of $100 per 30-day supply of covered prescription drugs, effective January 1, 2015.

Limits annual aggregate coinsurance, copayment, deductible and other out-of-pocket expenses for prescription drugs to not exceed 50% of the cost-sharing amounts set in Section 1302 of the Patient Protection and Affordable Care Act.

Prohibits health insurers from requiring covered individuals to obtain prescription drugs exclusively from mail order pharmacies as a condition of receiving benefits.

Applies the same prescription drug out-of-pocket expense limits to group health insurance policies as well as individual policies.

Exempts high deductible health plans from the per-dose and annual out-of-pocket expense caps.