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MS HB1050
Bill
Status
2/4/2014
Primary Sponsor
Alyce Clarke
Click for details
AI Summary
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Prohibits health care service plan contracts and health insurance policies issued, amended, or renewed after January 1, 2015, from creating specialty tiers that require patients to pay a percentage cost of prescription drugs.
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Caps copayments for medications at 500% of the lowest copayment required by the plan for formulary medications.
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Requires plans with out-of-pocket expense limits to either include prescription drug costs under the total limit for all benefits or cap annual prescription drug out-of-pocket costs at $1,000 per insured or $2,000 per family, adjusted for inflation.
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Allows health benefit plan issuers to modify drug coverage tiers with at least 60 days' notice to the Commissioner of Insurance, group sponsors, enrollees, and individual plan holders.
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Effective July 1, 2014.
Legislative Description
Health insurance; prohibit specialty tiers and certain copayments.
Last Action
Died In Committee
2/4/2014