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HI SCR93
Concurrent Resolution
Status
4/15/2011
Primary Sponsor
Maile Shimabukuro
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AI Summary
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Discourages health plans from creating specialty tiers for prescription drugs that require patients to pay significantly higher copayments or coinsurance percentages.
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Identifies specialty drugs as new, infusible, or injectable biologics typically used to treat serious conditions including cancer, autoimmune diseases, hemophilia, hepatitis, and immune deficiencies.
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Opposes specialty tiers on grounds that high out-of-pocket costs prevent patients from following prescribed treatment protocols and force choices between medication and basic living expenses.
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Contends specialty tiers violate insurance principles by making sickest patients pay more and create barriers to treatment rather than reducing health care costs.
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Directs transmission of the resolution to the Governor, Directors of Health, Human Services, and Labor and Industrial Relations, and the Insurance Commissioner for distribution to state insurers.
Legislative Description
Insurance; Health Plans; Creation of Specialty Tiers; Prescription Drugs
Last Action
(H) Referred to HLT, CPC, referral sheet 61
4/18/2011