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FL S0046
Bill
AI Summary
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Requires health insurers, health maintenance organizations, and their pharmacy benefit managers in Florida to count any payment made by or on behalf of an insured person toward that person's cost-sharing requirements, including deductibles, copayments, coinsurance, and out-of-pocket maximums
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Payments that must be credited toward cost-sharing include manufacturer copay cards, product vouchers, financial assistance, and any other third-party reduction in out-of-pocket prescription drug expenses
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Applies to individual health insurance policies, group health insurance policies, small employer health benefit plans, and health maintenance organization contracts issued, delivered, or renewed on or after January 1, 2024
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Requires insurers and HMOs to disclose the cost-sharing credit requirement on their websites and in every policy, contract, certificate, or member handbook, and requires pharmacy benefit manager contracts to include the same obligations and disclosures
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Takes effect July 1, 2023, and the Legislature declares the act fulfills an important state interest
Legislative Description
Health Insurance Cost Sharing
Last Action
Died in Health Policy
5/5/2023