Relating to financial assistance available for prescription drug

SB 1028 requires health insurers and pharmacy benefit managers in West Virginia to include any cost-sharing payments made by patients or other sources (like drug assistance programs) when calculating a patient's out-of-pocket costs for prescription drugs. It sets an annual cap on out-of-pocket expenses for all health plans sold in the state and prohibits insurers from altering coverage terms based on whether a patient has access to drug discounts. This bill directly affects health insurers, pharmacy benefit managers, and third-party administrators operating in West Virginia. Violations could result in civil penalties of up to $10,000 per violation.