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HI HB261
Bill
Status
7/6/2015
Primary Sponsor
Angus McKelvey
Click for details
AI Summary
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Requires health insurers offering individual or group accident and health insurance to post formularies on public websites and toll-free numbers starting January 1, 2017.
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Mandates 72-hour notice for formulary changes involving new drug additions or deletions, and 14-day notice for other changes like drug strength or form.
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Requires insurers to display cost-sharing ranges for covered drugs using a standardized five-tier system ($100 and under through over $1,000).
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Establishes a formulary accessibility working group to develop a standard formulary template, with recommendations due 20 days before the 2016 legislative session.
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Applies requirements to health insurers, mutual benefit societies, and health maintenance organizations, excluding limited benefit plans and federally financed programs like Medicare and Medicaid.
Legislative Description
Drug Formulary; Posting Requirements; Insurers; Health Plan
Last Action
Act 197, 07/02/2015 (Gov. Msg. No. 1298).
7/6/2015