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HI SB2365

Bill

Status

Passed

7/8/2014

Primary Sponsor

Clayton Hee

Click for details

Origin

Senate

2014 Regular Session

AI Summary

  • Establishes prescription drug reimbursement limits in workers' compensation claims at 140% of average wholesale price (AWP) as listed in the Red Book pharmacy reference, effective immediately after work injury.

  • Requires repackaged, relabeled, and compounded prescription drugs to include the original manufacturer's National Drug Code; if unknown, reimbursement based on the most closely related drug product listed in the Red Book.

  • Mandates substitution of equivalent generic drugs for brand name pharmaceuticals unless the prescribing physician certifies the injured employee's condition does not tolerate generic substitution.

  • Applies the same prescription drug pricing protections to motor vehicle personal injury protection (PIP) benefits by requiring them to follow workers' compensation medical fee schedule rates unless modified by the Insurance Commissioner.

  • Takes effect July 1, 2014.

Legislative Description

Insurance Claims; Prescription Drugs; Reimbursement Rates; Workers' Compensation; Motor Vehicle Insurance Benefits

Last Action

Became law without the Governor's signature, Act 231, 7/8/2014, (Gov. Msg. No. 1341).

7/8/2014

Committee Referrals

Finance3/21/2014
Consumer Protection & Commerce3/14/2014
Labor & Public Employment3/6/2014
Commerce and Consumer Protection2/14/2014
Judiciary and Labor1/21/2014

Full Bill Text

No bill text available