LD 1783 LR 2363(03)
An Act To Require Health Insurance Carriers and Pharmacy Benefits Managers To Appropriately Account for Cost-sharing Amounts Paid on Behalf of Insureds
Fiscal Note for Bill as Engrossed with:
C "A" (S-479)
Committee: Health Coverage, Insurance and Financial Services
Fiscal Note
Potential future biennium cost increase - General Fund
Fiscal Detail and Notes
Requiring the inclusion of certain cost sharing amounts made on behalf of participants in a covered prescription drug benefit be included in the calculation of plan out-of-pocket maximums, deductibles and copayments could result in an increase in costs to the State Employee Health Plan beginning in the plan year starting July 1, 2023. The amount and timing of the additional costs will depend on the volume of such payments (e.g., manufacturer coupons) currently being paid on behalf of participants and the type and use of payments that could be available in the future.