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HI SB2656

Bill

Status

Engrossed

3/6/2018

Primary Sponsor

Rosalyn Baker

Click for details

Origin

Senate

2018 Regular Session

AI Summary

  • Requires health insurers, mutual benefit societies, and health maintenance organizations to permit medication synchronization by applying prorated daily cost-sharing rates for prescriptions dispensed for less than a 30-day supply when patients request or agree to partial supplies.

  • Prohibits insurers from denying coverage for maintenance medications dispensed as partial supplies for synchronization purposes and requires network pharmacies to override "refill too soon" denial codes.

  • Mandates that dispensing fees for partially filled prescriptions be paid in full for each prescription dispensed, regardless of any prorated copayment or synchronization service fees.

  • Allows network pharmacies to identify an anchor prescription to which other prescriptions may be synchronized, with medications in unbreakable packages (eye drops, inhalers, creams, ointments) automatically designated as anchor prescriptions.

  • Excludes Schedule II narcotic controlled substances from medication synchronization eligibility and amends the definition of pharmacy practice to include adjusting prescription supply for medication synchronization purposes; effective July 1, 2050 and repealed July 1, 2023.

Legislative Description

Relating To Medication Synchronization.

Health Insurance

Last Action

Referred to HHS, CPC, FIN, referral sheet 36

3/8/2018

Committee Referrals

Health & Human Services3/8/2018
Ways and Means2/16/2018
Commerce, Consumer Protection, and Health1/24/2018

Full Bill Text

No bill text available