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MS SB2012
Bill
AI Summary
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Require all individual and group health insurance policies with prescription drug coverage to allow prorated daily cost-sharing rates for partial medication supplies when requested by patients or their pharmacists for medication synchronization purposes.
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Prohibit insurance plans from denying coverage for partial prescription fills if medically appropriate and patient-approved for synchronization, and require plans to override "refilled too soon" denial codes for medication synchronization.
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Mandate that insurance plans pay full dispensing fees for each partial prescription dispensed, regardless of prorated cost-sharing rates, and prohibit payment structures that incorporate prorated dispensing fees.
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Apply medication synchronization requirements fully to the State and School Employees Health Insurance Plan and the Mississippi Medicaid Program.
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Effective July 1, 2017.
Legislative Description
Group health insurance plan coverage for prescription drugs; authorize medication synchronization for beneficiaries.
Last Action
Died In Committee
1/31/2017