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HB 1111: Health Insurance Cost Sharing

GENERAL BILL by Busatta Cabrera ; (CO-INTRODUCERS) Aloupis ; Eskamani ; Joseph ; Roth

Health Insurance Cost Sharing; Requires specified individual health insurers, group health insurers, HMOs, & their pharmacy benefits managers to apply payments by or on behalf of insureds & subscribers toward total contributions of insureds' & subscribers' costs-sharing requirements; requires such individual health insurers, group health insurers & HMOs to disclose on websites & in policies & health maintenance contracts, certificates, or handbooks such application payments; requires pharmacy benefits managers to disclose to insurers & subscribers such application payments; provides applicability; requires small employer carriers to conform provisions to changes made by act.

Effective Date: 7/1/2021
Last Action: 4/30/2021 House - Died in Finance & Facilities Subcommittee
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    2/18/2021 House • Filed
    2/25/2021 House • Referred to Finance & Facilities Subcommittee
    • Referred to Appropriations Committee
    • Referred to Health & Human Services Committee
    • Now in Finance & Facilities Subcommittee
    3/2/2021 House • 1st Reading (Original Filed Version)
    4/30/2021 House • Died in Finance & Facilities Subcommittee

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  • HB 1111, Original Filed Version (Current Bill Version) Posted 2/18/2021 at 9:39 AM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1078 Health Insurance Cost Sharing Brodeur Identical Last Action: 4/30/2021 S Died in Banking and Insurance

    Citations - Statutes (10)

    Citation Catchline Location in Bill Location In Bill Help
    409.967 Managed care plan accountability. Page 12 (pdf)
    627.6383 Page 2 (pdf)
    627.6385 Disclosures to policyholders; calculations of cost sharing. Page 3 (pdf)
    627.64741 Pharmacy benefit manager contracts. Page 4 (pdf)
    627.65715 Page 5 (pdf)
    627.6572 Pharmacy benefit manager contracts. Page 6 (pdf)
    627.6699 Employee Health Care Access Act. Page 7 (pdf)
    641.185 Health maintenance organization subscriber protections. Page 12 (pdf)
    641.31 Health maintenance contracts. Page 10 (pdf)
    641.314 Pharmacy benefit manager contracts. Page 11 (pdf)

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