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NC H744

Bill

Status

Introduced

4/14/2015

Primary Sponsor

Christopher Malone

Click for details

Origin

House of Representatives

2015-2016 Session

AI Summary

  • Creates new insurance coverage requirement for abuse-deterrent opioid analgesics under G.S. 58-50-305, applying to all health benefit plans that cover prescription drugs.

  • Requires insurers to provide coverage for abuse-deterrent opioid analgesics on no less favorable terms than non-abuse-deterrent opioid analgesics, with cost-sharing not exceeding the lowest cost-sharing level for prescription drugs in the plan.

  • Prohibits insurers from requiring insured individuals to try non-abuse-deterrent opioid analgesics before covering abuse-deterrent versions, though prior authorization may be required if applied equally to non-abuse-deterrent versions.

  • Defines abuse-deterrent opioid analgesic as a brand or generic opioid drug product approved by the FDA with abuse-deterrence labeling claims indicating meaningful reduction in abuse.

  • Effective October 1, 2015, applying to insurance contracts issued, renewed, or amended on or after that date.

Legislative Description

Abuse-Deterrent Opioid Analgesics

Last Action

Re-ref Com On Insurance

4/20/2015

Committee Referrals

Insurance4/20/2015
Health4/15/2015

Full Bill Text

No bill text available