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Bill > HB698


MS HB698

MS HB698
Health insurance; prohibit modifications on renewal of covered and prescribed prescription drug's contracted benefit level.


summary

Introduced
01/14/2026
In Committee
01/14/2026
Crossed Over
Passed
Dead
02/03/2026

Introduced Session

2026 Regular Session

Bill Summary

An Act To Prohibit Health Insurance Plans From Modifying, On Renewal, An Insured's Contracted Benefit Level For Any Prescription Drug That Was Approved Or Covered Under The Plan In The Immediately Preceding Plan Year And Prescribed During That Year For A Medical Condition Or Mental Illness; To List Modifications Prohibited; To Clarify What Is Not Prohibited; And For Related Purposes.

AI Summary

This bill, effective July 1, 2026, prohibits health insurance plans in Mississippi from changing the contracted benefit level for a prescription drug on renewal if that drug was approved or covered in the previous year and was prescribed for a medical condition or mental illness, provided the insured was covered, a doctor prescribes it, and the doctor and patient agree it's the best treatment. Specifically, insurers cannot remove the drug from their list of covered medications (formulary), require prior authorization, change quantity limits, impose step-therapy requirements (requiring trying other drugs first), move the drug to a higher cost tier, increase out-of-pocket costs like copays or deductibles, or reduce the maximum coverage amount for that drug. However, these protections do not apply if the U.S. Food and Drug Administration (FDA) raises safety concerns about the drug, the manufacturer announces it's discontinuing production, or the drug is removed from the market.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Died In Committee (on 02/03/2026)

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