2023 -- H 5554 | |
======== | |
LC000133 | |
======== | |
STATE OF RHODE ISLAND | |
IN GENERAL ASSEMBLY | |
JANUARY SESSION, A.D. 2023 | |
____________ | |
A N A C T | |
RELATING TO INSURANCE -- PRESCRIPTION DRUG BENEFITS | |
| |
Introduced By: Representatives Morales, Batista, Cruz, Stewart, Voas, Giraldo, J. Brien, | |
Date Introduced: February 15, 2023 | |
Referred To: House Health & Human Services | |
It is enacted by the General Assembly as follows: | |
1 | SECTION 1. Chapter 27-20.8 of the General Laws entitled "Prescription Drug Benefits" is |
2 | hereby amended by adding thereto the following section: |
3 | 27-20.8-5. Co-pay cap for prescription asthma inhaler. |
4 | (a) As used in this section, unless the context otherwise requires, "prescription asthma |
5 | inhaler" means a prescribed medical device that delivers medications used to treat asthma and |
6 | includes metered dose inhalers, nebulizers, and dry powdered inhalers. "Prescription asthma |
7 | inhaler" does not include inhalers available over-the-counter without a prescription to provide |
8 | temporary relief from asthma symptoms. |
9 | (b) A health plan that provides coverage for prescription asthma inhalers pursuant to the |
10 | terms of a health coverage plan the health plan offers shall cap the total amount that a covered |
11 | person is required to pay for a covered prescription asthma inhaler at an amount not to exceed |
12 | twenty-five dollars ($25.00), per thirty (30) day supply. Coverage for prescription asthma inhalers |
13 | shall not be subject to any deductible. |
14 | (c) Nothing in this section prevents a health plan from reducing a covered person's cost |
15 | sharing to an amount less than the amount specified in subsection (b) of this section. |
16 | (d) The office of the health insurance commissioner may use any of its enforcement powers |
17 | to obtain a health plan's compliance with this section. |
18 | (e) The office of the health insurance commissioner may promulgate rules and regulations |
19 | as necessary to implement and administer this section and to align with federal requirements. |
| |
1 | SECTION 2. This act shall take effect on January 1, 2024. |
======== | |
LC000133 | |
======== | |
| LC000133 - Page 2 of 3 |
EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO INSURANCE -- PRESCRIPTION DRUG BENEFITS | |
*** | |
1 | This act would cap the total amount that a covered person is required to pay for a covered |
2 | prescription asthma inhaler to twenty-five dollars ($25.00) per thirty (30) day supply. |
3 | This act would take effect on January 1, 2024. |
======== | |
LC000133 | |
======== | |
| LC000133 - Page 3 of 3 |