Health insurance; prescription drug formularies.
Summary
Health insurance; prescription drug formularies. Requires health insurance carriers to provide coverage for a generic drug or a biosimilar when the carrier provides coverage for the brand drug or product and the generic drug or biosimilar has a lower wholesale acquisition cost than the brand drug or product with more favorable cost-sharing, including actual out-of-pocket costs, relative to the brand drug or product. Additionally, the bill requires carriers to publish an up-to-date, accurate, and complete list of all covered drugs on its formulary, including any tiering structure that it has adopted and any restrictions on the manner in which a drug can be obtained, in a manner that is easily accessible to plan enrollees, prospective enrollees, and the general public.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 8, 2025
Last action Feb 5, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
5
Key actions
1
Committee
3
Jan 28, 2025
Lower · Passed
Subcommittee recommends laying on the table (7-Y 0-N)
lower
Jan 21, 2025
Committee
Assigned L & C sub: Subcommittee #1
lower
Jan 8, 2025
Committee
Referred to Committee on Labor and Commerce
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Mark Sickles
DDemocratic
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