Bill > H4496

This bill aims to improve medication management and patient care by requiring health insurance policies to support medication synchronization. Specifically, the bill mandates that health insurance plans covering prescription drugs must allow pro-rated daily cost-sharing for partial medication supplies when a prescriber or pharmacist determines it is in the patient's best interest and the patient agrees to synchronize their medications. Insurance providers cannot deny coverage for such partial medication fills and must allow pharmacies to override typical refill restrictions. Furthermore, the bill ensures that dispensing fees will be paid in full for each prescription, even when the medication supply is partial, and prohibits insurance plans from using payment structures that pro-rate dispensing fees. This approach is designed to help patients better manage multiple medications, potentially improving adherence and reducing overall healthcare costs by allowing patients to align the refill timing of different prescriptions.

Health and Social Services

Joint Committee on Financial Services (Joint)

https://malegislature.gov/Bills/194/H4496