SB 359

Bill Subjects

Prescriptions Insurance Unfunded Mandates Pharmacy Benefit Managers Insurance Companies Prepaid Limited Health Services Organizations Health Maintenance Organizations Medical Devices Managed Care Organizations Fines

Abstract

AN ACT relating to coverage for health care; requiring an insurer under a policy of health insurance to continue coverage for a procedure, device, medication or other treatment for a chronic condition of an insured under certain circumstances; requiring a provider of health care to examine an insured before altering certain previously approved prescriptions; requiring a provider of health care to cooperate in a timely manner with pharmacists, insurers and pharmacy benefit managers with regard to certain coverage for an insured; limiting the frequency of prescription drug formulary changes; requiring that initial notice to an insured be sent not less than 60 days before a formulary change with a follow-up notice sent not less than 30 days before the formulary change; authorizing the imposition of a civil penalty for certain insurers and pharmacy benefit managers that violate the requirements concerning continued coverage; and providing other matters properly relating thereto.