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HI HB261

Bill

Status

Passed

7/6/2015

Primary Sponsor

Angus McKelvey

Click for details

Origin

House of Representatives

2015 Regular Session

AI Summary

  • 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.

  • 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.

  • Requires insurers to display cost-sharing ranges for covered drugs using a standardized five-tier system ($100 and under through over $1,000).

  • Establishes a formulary accessibility working group to develop a standard formulary template, with recommendations due 20 days before the 2016 legislative session.

  • 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

Committee Referrals

Ways and Means3/25/2015
Health3/10/2015
Finance2/20/2015
Health2/13/2015
Consumer Protection & Commerce1/26/2015

Full Bill Text

No bill text available