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Bill > H513


MA H513

Relative to patient financial protection


summary

Introduced
01/23/2017
In Committee
01/23/2017
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

190th General Court

Bill Summary

Relative to regulating separate out-of-pocket insurance limits for prescription drugs, including specialty drugs. Financial Services.

AI Summary

This bill requires insurance policies, contracts, agreements, and certificates that provide prescription drug coverage to establish a separate out-of-pocket limit for prescription drugs, including specialty drugs. The out-of-pocket limit cannot exceed the minimum annual deductible for a high-deductible health plan under the Internal Revenue Code. The term "out-of-pocket limit" includes cost-sharing expenses related to prescription drug coverage under the Patient Protection and Affordable Care Act. This requirement applies to all relevant policies, contracts, and certificates delivered, issued, or renewed on or after January 1, 2015.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Accompanied a study order, see H4778 (on 07/18/2018)

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