R 421
2015 -- S 1016
Enacted 06/24/2015

S E N A T E   R E S O L U T I O N
RESPECTFULLY REQUESTING THE OFFICE OF THE HEALTH INSURANCE COMMISSIONER TO STUDY THE NOTIFICATION REQUIREMENTS FOR CHANGES TO PRESCRIPTION DRUG PLAN FORMULARIES AND ASSESS THE IMPACT ON PERSONS WITH CHRONIC MEDICAL CONDITIONS

Introduced By: Senator Elizabeth A. Crowley
Date Introduced: June 24, 2015

     WHEREAS, One of the tools most frequently used by drug plans to manage utilization
and spending among Medicare beneficiaries is multi-tiered formularies. Tiered copayment
formularies are designed to provide financial incentives for enrollees to use generic or preferred
brand named drugs, curtail the use of drugs with little therapeutic value, and limit plan financial
exposure; and
     WHEREAS, Some studies have found that multi-tiered plans have also been found to
lead to lower rates of use, and average total spending for drugs taken to treat chronic conditions
such as diabetes decrease when generic substitutes are available; and
     WHEREAS, Persons with chronic medical conditions may have prescriptions for which
there are no generics available and a shift in cost from a preferred brand named drug to a
nonpreferred brand named drug may become cost prohibitive; and
     WHEREAS, Ample notification of a change in prescription drug plan formularies may
assist persons with chronic medical conditions by providing time to research alternative drug
plans, offsetting increased costs through mail order subscription and/or purchasing and
researching other cost-savings opportunities; now, therefore be it
     RESOLVED, That this Senate of the State of Rhode Island and Providence Plantations
hereby respectfully requests the Office of the Health Insurance Commissioner to study and make
a comprehensive analysis of notification requirements for changes to prescription drug plan
formularies, assess the impact on persons with chronic medical conditions, and provide a report to
the General Assembly on or before February 1, 2016; and be it further
     RESOLVED, That the Secretary of the State be and hereby is authorized and directed to
transmit a duly certified copy of this resolution to the Rhode Island Health Insurance
Commissioner.
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LC002957
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