Senate Enrolled Act No. 26 - Summary

• Requires state employee health plans, accident and sickness insurance policies, and HMO contracts to cover prescription eye drop refills if requested no earlier than 25 days after a 30-day supply or 75 days after a 90-day supply was dispensed, effective for plans issued or renewed after December 31, 2015.

• Mandates that the prescribing practitioner must indicate the eye drops are refillable on the prescription and the requested refill cannot exceed the remaining refillable amount.

• Prohibits coverage of prescription eye drop refills from being subject to less favorable dollar limits, copayments, deductibles, or coinsurance provisions than those applied to prescription drugs generally.

• Applies requirements to three separate insurance categories: state employee health plans under IC 5-10-8-14.8, accident and sickness insurance policies under IC 27-8-32.1, and HMO individual or group contracts under IC 27-13-7-20.1.

• Effective July 1, 2015 for the legislative amendments, with coverage requirements applying to plans issued, delivered, amended, or renewed after December 31, 2015.