Bill > H820

This bill requires health benefit plans in North Carolina that cover prescription eye drops to allow early refills under specific conditions. Specifically, insurers cannot deny coverage for a refill if the patient requests it either after using 70% of the prescribed dosage units or 21 days after the original prescription or previous refill distribution, and if the refill does not exceed the number of refills originally prescribed by the healthcare provider. The bill applies to all health insurance plans in the state, including the State Health Plan, and will become effective on October 1, 2025, for new, renewed, or amended contracts. To support implementation, the bill appropriates $100,000 in recurring funds to the Department of State Treasurer for each year of the 2025-2027 fiscal biennium. The legislation aims to provide more flexibility for patients who need to refill their eye drop prescriptions before the traditional refill timeline, potentially helping those who may use eye drops more quickly or have difficulty precisely measuring their medication usage.

Budget and Finance, Business and Industry

https://www.ncleg.gov/BillLookUp/2025/H820