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Bill > HB4543


WV HB4543

Relating to insurance coverage for diabetics


summary

Introduced
01/24/2020
In Committee
03/04/2020
Crossed Over
02/19/2020
Passed
03/07/2020
Dead
Signed/Enacted/Adopted
04/15/2020

Introduced Session

2020 Regular Session

Bill Summary

Relating to insurance coverage for diabetics

AI Summary

This bill aims to provide more comprehensive insurance coverage for diabetics in West Virginia. It requires health plans to cover at least one type of insulin in various categories, and limits the cost-sharing payment for a 30-day supply of covered prescription insulin drugs to no more than $100, regardless of the quantity or type of insulin used. The bill also requires coverage for diabetic equipment, supplies, and self-management education, and prohibits pharmacy benefit managers, health plans, or other third parties from reimbursing pharmacies at a lower rate or assessing fees based on a covered person's cost-sharing being impacted. The bill also includes findings on the prevalence and medical costs of diabetes in West Virginia, and the importance of reducing costs for life-saving insulin.

Committee Categories

Business and Industry, Justice

Sponsors (11)

Last Action

Chapter 202, Acts, Regular Session, 2020 (on 04/15/2020)

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