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SB 1342: Insurer Disclosures on Prescription Drug Coverage

GENERAL BILL by Rodriguez

Insurer Disclosures on Prescription Drug Coverage; Requiring individual and group health insurers to provide notice of prescription drug formulary changes within a certain timeframe to current and prospective insureds and the insureds’ treating physicians; requiring insurers to annually submit a specified report to the Office of Insurance Regulation by a specified date; requiring specified individual health insurers and their pharmacy benefit managers to apply payments for prescription drugs by or on behalf of insureds toward the total contributions of the insureds’ cost-sharing requirements under certain circumstances; requiring specified contracts to require pharmacy benefit managers to apply payments by or on behalf of insureds toward the insureds’ total contributions to cost-sharing requirements, etc.

Effective Date: 7/1/2025
Last Action: 3/10/2025 Senate - Introduced
Bill Text: Web Page | PDF

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  • Bill History

    Date Chamber Action
    2/26/2025 Senate • Filed
    3/6/2025 Senate • Referred to Banking and Insurance; Appropriations Committee on Agriculture, Environment, and General Government; Fiscal Policy
    3/10/2025 Senate • Introduced

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  • SB 1342, Original Filed Version (Current Bill Version) Posted 2/26/2025 at 12:48 PM

    Bill Text:   Web Page | PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 899 Insurer Disclosures on Prescription Drug Coverage Gonzalez Pittman Similar Last Action: 4/2/2025 H Now in Insurance & Banking Subcommittee

    Citations - Statutes (11)

    Citation Catchline Location in Bill Location In Bill Help
    409.967 Managed care plan accountability. Page 24 (pdf)
    627.42394 Page 5 (pdf)
    627.6383 Page 7 (pdf)
    627.6385 Disclosures to policyholders; calculations of cost sharing. Page 10 (pdf)
    627.64741 Pharmacy benefit manager contracts. Page 11 (pdf)
    627.65715 Page 11 (pdf)
    627.6572 Pharmacy benefit manager contracts. Page 14 (pdf)
    627.6699 Employee Health Care Access Act. Page 15 (pdf)
    641.185 Health maintenance organization subscriber protections. Page 24 (pdf)
    641.31 Health maintenance contracts. Page 17 (pdf)
    641.314 Pharmacy benefit manager contracts. Page 23 (pdf)

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