Bill

Bill > HB3092


OR HB3092

Relating to drug costs; prescribing an effective date.


summary

Introduced
01/13/2025
In Committee
01/17/2025
Crossed Over
Passed
Dead

Introduced Session

Potential new amendment
2025 Legislative Measures

Bill Summary

The statement includes a measure digest written in compliance with applicable readability standards. Digest: Requires OEBB to count the amounts paid from coupons or by other third parties toward any costs that an insured person must pay for their drugs. (Flesch Readability Score: 66.5). Requires the Oregon Educators’ Benefit Board to count payments made by or on behalf of an enrollee for the cost of certain prescription drugs when calculating the enrollee’s contribution to an out-of-pocket maximum, deductible, copayment, coinsurance or other required cost-sharing for the drugs. Takes effect on the 91st day following adjournment sine die.

AI Summary

This bill modifies Oregon law to require the Oregon Educators' Benefit Board (OEBB) to include third-party payments and manufacturer coupons when calculating an enrollee's out-of-pocket costs for prescription drugs. Specifically, the bill amends ORS 243.877 to add a new requirement that OEBB benefit plans must comply with a new provision (referenced as Section 2, chapter 35, Oregon Laws 2024) related to counting third-party payments toward an enrollee's deductible, copayment, coinsurance, and out-of-pocket maximum. The changes will apply to benefit plans issued, renewed, or extended on or after October 1, 2025, and the bill itself will take effect 91 days after the adjournment of the 2025 regular legislative session. This legislation aims to provide more transparency and potentially reduce the financial burden on enrollees by allowing them to count manufacturer discounts and other third-party payments toward their required drug cost contributions.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

House Behavioral Health and Health Care Work Session (15:00:00 4/3/2025 HR C) (on 04/03/2025)

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