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IN HB1277
Bill
Status
1/12/2016
Primary Sponsor
Steven Davisson
Click for details
AI Summary
HB 1277 Summary
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Requires health insurance policies and HMO contracts covering prescription medications to implement synchronized refill schedules for chronic medications, allowing all medications to be refilled on the same date.
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Mandates use of a daily cost sharing rate (copayment for monthly supply divided by daily supply) when medications are dispensed in quantities less than 30 days for synchronization purposes.
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Requires insurance coverage for medications dispensed in less than 30-day quantities when a prescriber or pharmacist determines synchronization is needed for chronic condition management.
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Prohibits prorating dispensing fees based on medication quantity and requires fees to be based on the total number of prescriptions in a single transaction.
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Effective July 1, 2016; applies to both individual and group accident and sickness insurance policies, as well as HMO contracts with participating pharmacies.
Legislative Description
Prescription synchronization. Requires that a health insurance policy and a health maintenance organization contract that provide coverage for prescription medications must use a daily cost sharing rate and provide for synchronized refill schedule coordination for chronic prescription medications.
Last Action
First reading: referred to Committee on Insurance
1/12/2016