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HB 561: Prescription Drug Coverage

GENERAL BILL by Altman

Prescription Drug Coverage; Requires individual & group health insurers & HMOs to provide notice of prescription drug formulary changes; specifies requirements for notice of medical necessity submitted by treating physicians; specifies coverage requirement & restrictions on coverage modification by insurers & HMOs receiving such notice; requires insurers & HMOs to maintain record of formulary changes; requires small employer carriers to comply with requirements for prescription drug formulary changes; requires insurers & HMOs to apply reductions in out-of-pocket expenses for prescription drugs toward cost-sharing obligations.

Effective Date: 7/1/2020
Last Action: 3/14/2020 House - Died in Health Market Reform Subcommittee
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    11/6/2019 House • Filed
    11/15/2019 House • Referred to Health Market Reform Subcommittee; Appropriations Committee; Health and Human Services Committee -HJ 46
    1/14/2020 House • Introduced -HJ 46
    3/14/2020 House • Indefinitely postponed and withdrawn from consideration
    • Died in Health Market Reform Subcommittee

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  • HB 561, Original Filed Version (Current Bill Version) Posted 11/6/2019 at 4:46 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (2)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 696 Prescription Drug Coverage Mayfield Identical Last Action: 3/14/2020 S Died in Banking and Insurance
    H 7045 (e1) Prescription Drug Price Transparency Health Market Reform Subcommittee Compare Last Action: 3/14/2020 S Died in Banking and Insurance

    Citations - Statutes (6)

    Citation Catchline Location in Bill Location In Bill Help
    627.42394 Page 3 (pdf)
    627.6404 Page 7 (pdf)
    627.64742 Page 7 (pdf)
    627.6699 Employee Health Care Access Act. Page 8 (pdf)
    641.31 Health maintenance contracts. Page 10 (pdf)
    641.3157 Page 14 (pdf)

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