H5146

	2021 -- H 5146
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	LC000243
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	STATE OF RHODE ISLAND
	IN GENERAL ASSEMBLY
	JANUARY SESSION, A.D. 2021
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	A N A C T
	RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

	Introduced By: Representatives Morales, McGaw, Bennett, Fogarty, Caldwell, Lombardi, Hull, and Potter
	Date Introduced: January 25, 2021
	Referred To: House Corporations
	It is enacted by the General Assembly as follows:
1	SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance
2	Policies" is hereby amended by adding thereto the following section:
3	27-18-85. Health insurance contracts - Coverage for prescription drugs.
4	Commencing January 1, 2022, every health insurance issuer offering group or individual
5	health insurance coverage that provides benefit expenses in the purchase of prescription drugs in a
6	policy executed, renewed, issued or delivered in the state shall limit a covered person’s out-of-
7	pocket responsibility, including any copayments or coinsurance, for prescription drugs, including
8	specialty drugs, to no more than one hundred dollars ($100) per month for a specialty or
9	prescription drug for up to a thirty (30) day supply of any single drug.
10	SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service
11	Corporations" is hereby amended by adding thereto the following section:
12	27-19-77. Health insurance contracts - Coverage for prescription drugs.
13	Commencing January 1, 2022, every health insurance issuer offering group or individual
14	health insurance coverage that provides benefit expenses in the purchase of prescription drugs in a
15	policy executed, renewed, issued or delivered in the state shall limit a covered person’s out-of-
16	pocket responsibility, including any copayments or coinsurance, for prescription drugs, including
17	specialty drugs, to no more than one hundred dollars ($100) per month for a specialty or
18	prescription drug for up to a thirty (30) day supply of any single drug.
19	SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service

1	Corporations" is hereby amended by adding thereto the following section:
2	27-20-73. Health insurance contracts - Coverage for prescription drugs.
3	Commencing January 1, 2022, every health insurance issuer offering group or individual
4	health insurance coverage that provides benefit expenses in the purchase of prescription drugs in a
5	policy executed, renewed, issued or delivered in the state shall limit a covered person’s out-of-
6	pocket responsibility, including any copayments or coinsurance, for prescription drugs, including
7	specialty drugs, to no more than one hundred dollars ($100) per month for a specialty or
8	prescription drug for up to a thirty (30) day supply of any single drug.
9	SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance
10	Organizations" is hereby amended by adding thereto the following section:
11	27-41-90. Health insurance contracts - Coverage for prescription drugs.
12	Commencing January 1, 2022, every health insurance issuer offering group or individual
13	health insurance coverage that provides benefit expenses in the purchase of prescription drugs in a
14	policy executed, renewed, issued or delivered in the state shall limit a covered person’s out-of-
15	pocket responsibility, including any copayments or coinsurance, for prescription drugs, including
16	specialty drugs, to no more than one hundred dollars ($100) per month for a specialty or
17	prescription drug for up to a thirty (30) day supply of any single drug.
18	SECTION 5. This act shall take effect upon passage.
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	LC000243
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	EXPLANATION
	BY THE LEGISLATIVE COUNCIL
	OF
	A N A C T
	RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES
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1	This act would require all health insurance providers offering prescription drug benefits to
2	limit a covered person’s out-of-pocket financial responsibility for prescription and specialty drugs
3	to no more than one hundred dollars ($100) per month for up to a thirty (30) day supply for any
4	single drug, commencing January 1, 2022.
5	This act would take effect upon passage.
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	LC000243
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