MS HB90

Prohibits health care service plan contracts and health insurance policies issued, amended, or renewed after January 1, 2016, from creating specialty tiers requiring percentage-based cost sharing for prescription drugs.

Limits copayments for any medication to no more than 500% of the lowest copayment required by the plan or policy for formulary medications.

Requires plans and policies with out-of-pocket expense limits to either include prescription drug costs under the total out-of-pocket limit or cap annual prescription drug out-of-pocket expenses at $1,000 per insured or $2,000 per family, adjusted for inflation.

Allows health benefit plan issuers to modify drug coverage tiers if notice is provided at least 60 days before the modification takes effect to the Insurance Commissioner, group sponsors, enrollees, and individual policyholders.

Takes effect July 1, 2015.