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MA S654

MA S654
Relative to out-of-pocket expenses for prescription drug coverage


summary

Introduced
03/29/2021
In Committee
03/29/2021
Crossed Over
Passed
Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

For legislation relative to out-of-pocket expenses for prescription drug coverage. Financial Services.

AI Summary

This bill aims to limit out-of-pocket expenses for prescription drug coverage in Massachusetts. It requires health insurance carriers that sell plans outside the state's health insurance connector authority to apply the prescription drug cost-sharing requirements of the connector's Silver or Gold standard benefit designs to at least 50% of their plans in the individual, small group, and large group markets. This includes copayments, coinsurance, and deductibles. For high-deductible health plans, the requirements would apply after the minimum annual deductible is reached. The bill authorizes the Massachusetts Division of Insurance to promulgate regulations to implement and enforce these provisions.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Accompanied a study order, see S2693 (on 02/14/2022)

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