HB584 (2013) Detail

Relative to covered prescription drugs.


HB 584 – AS INTRODUCED

2013 SESSION

13-0523

01/09

HOUSE BILL 584

AN ACT relative to covered prescription drugs.

SPONSORS: Rep. Rosenwald, Hills 30; Rep. M. MacKay, Hills 30; Rep. D. McGuire, Merr 21; Rep. Kurk, Hills 2; Sen. Reagan, Dist 17; Sen. Lasky, Dist 13; Sen. Gilmour, Dist?12

COMMITTEE: Health, Human Services and Elderly Affairs

ANALYSIS

This bill requires insurers to allow covered persons to purchase their 90-day supply of covered prescription drugs at the pharmacy of their choice.

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

13-0523

01/09

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Thirteen

AN ACT relative to covered prescription drugs.

Be it Enacted by the Senate and House of Representatives in General Court convened:

1 Covered Prescription Drugs. Amend RSA 415:6-aa to read as follows:

415:6-aa 90-Day Supply of Covered Prescription Drugs. An insurer issuing or renewing accident and health insurance policies shall allow its insureds to purchase an up-to-90-day supply of covered prescription drugs on the covered person’s health plan formulary at one time at the pharmacy of the insured’s choice, provided that the insured can demonstrate that such drug has been taken by the insured for a continuous period of one year and provided that such drug is not subject to the health plan’s utilization management, prior authorization, or pre-certification requirements. Controlled substances as identified by the United States Drug Enforcement Administration are exempt from this section. Nothing in this section shall be construed to limit the health plan’s ability to establish co-payments, coinsurance deductibles, or other member cost shares. A retail pharmacy dispensing a 90-day supply of covered prescription drugs under this section shall comply with any specified terms, conditions, and price which the plan may require for mail order pharmacies that fill 90-day prescriptions.

2 Covered Prescription Drugs; Managed Care. Amend RSA 420-J:7-b, VIII to read as follows:

VIII. Every health benefit plan that provides prescription drug benefits shall allow its covered persons to purchase an up-to-90-day supply of covered prescription drugs on the covered person’s health benefit plan formulary at one time at the pharmacy of the insured’s choice, provided that the insured can demonstrate that such drug has been taken by the insured for a continuous period of one year and provided that such drug is not subject to the health benefit plan’s utilization management, prior authorization, or pre-certification requirements. Controlled substances as identified by the United States Drug Enforcement Administration are exempt from this paragraph. Nothing in this paragraph shall be construed to limit the health benefit plan’s ability to establish co-payments, coinsurance deductibles, or other member cost shares. A retail pharmacy dispensing a 90-day supply of covered prescription drugs under this paragraph shall comply with any specified terms, conditions, and price which the health benefit plan may require for mail order pharmacies that fill 90-day prescriptions.

3 Effective Date. This act shall take effect 60 days after its passage.