2021 -- H 5251

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LC000966

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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 -- PRESCRIPTIONS

     

     Introduced By: Representatives Diaz, Slater, Lombardi, Craven, Casey, Felix, Biah,
Ajello, Fogarty, and Kislak

     Date Introduced: January 29, 2021

     Referred To: House Health & Human Services

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 27-20.8 of the General Laws entitled "Prescription Drug Benefits" is

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hereby amended by adding thereto the following section:

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     27-20.8-3. Co-pay cap for prescription insulin.

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     (a) As used in this section, unless the context otherwise requires, "prescription insulin drug"

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means a prescription drug, as defined in ยง 21-31-2, that contains insulin and is used to treat diabetes.

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     (b) A carrier that provides coverage for prescription insulin drugs pursuant to the terms of

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a health coverage plan the carrier offers shall cap the total amount that a covered person is required

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to pay for a covered prescription insulin drug at an amount not to exceed fifty dollars ($50.00), per

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thirty (30) day supply of medically necessary insulin.

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     (c) Nothing in this section shall be construed to prevent a carrier from reducing a covered

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person's cost sharing to an amount less than the amount specified in subsection (b) of this section.

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     (d) The health insurance commissioner may use any of their enforcement powers to obtain

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a carrier's compliance with this section.

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     (e) The commissioner may promulgate such rules and regulations necessary to implement

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and administer the provisions of this section and to align with federal requirements.

 

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     SECTION 2. This act shall take effect on January 1, 2022.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO INSURANCE -- PRESCRIPTIONS

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     This act would limit health insurance carriers that provide coverage for prescription insulin

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drugs used to treat diabetes to fifty ($50.00) dollars copayment for a thirty (30) day supply of

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medically necessary insulin.

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     This act would take effect on January 1, 2022.

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