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MS HB211
Bill
Status
Failed
1/31/2023
Primary Sponsor
Brent Powell
Click for details
AI Summary
- Prohibits health insurance plans from modifying the contracted benefit level for prescription drugs on renewal if the drug was covered and prescribed in the previous plan year for a medical condition or mental illness
- Applies to all individual and group health insurance policies, service contracts, health maintenance organizations, and managed care entities effective July 1, 2023
- Banned modifications include removing drugs from formulary, adding prior authorization requirements, imposing or altering quantity limits, adding step-therapy restrictions, moving drugs to higher cost-sharing tiers, increasing out-of-pocket expenses, and reducing maximum drug coverage amounts
- Allows insurers to remove drugs only if the FDA questions the drug's clinical safety, the manufacturer discontinues production, or the drug is removed from the market
- Requires the insured to have been continuously covered on the renewal date and a prescribing provider must determine the drug is the most appropriate treatment
Legislative Description
Health insurance; prohibit modifications on renewal of covered and prescribed prescription drug's contracted benefit level.
Last Action
Died In Committee
1/31/2023
Committee Referrals
Insurance1/4/2023
Full Bill Text
No bill text available