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ID H0713
Bill
Status
Introduced
2/16/2026
Primary Sponsor
Health and Welfare Committee
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AI Summary
- Insurers must count third-party payments (such as copay assistance programs) toward an enrollee's deductible, copayment, coinsurance, and annual out-of-pocket maximum
- Applies to health benefit plans entered into, amended, extended, or renewed on or after January 1, 2027
- Exempts prescription drugs when a medically appropriate generic equivalent exists and the patient's doctor has approved the generic for that patient
- Department of Insurance authorized to promulgate rules with legislative approval to implement the requirements
- Declared an emergency measure with effective date of July 1, 2026
Legislative Description
Adds to existing law to establish cost-sharing requirements for health benefit plans.
INSURANCE
Last Action
Reported Printed and Referred to Health & Welfare
2/17/2026
Committee Referrals
Health and Welfare2/17/2026
Full Bill Text
No bill text available