SB544 (2026) Compare Changes


The Bill Text indicates a new section is being inserted. This situation is not handled right now, and the new text is displayed in both the changed and unchanged versions.

Unchanged Version

Text to be removed highlighted in red.

1 New Paragraphs; Managed Care Law; Prescription Drugs. Amend RSA 420-J:7-b by inserting after paragraph I the following new paragraphs:

I-a. A health carrier may modify drug coverage provided under a health benefit plan if:

(a) The modification occurs at the time of coverage renewal; and

(b) The modification is effective uniformly among all group health benefit plan sponsors covered by identical or substantially identical health benefit plans or all individuals covered by identical or substantially identical individual health benefit plans, as applicable.

I-b. The health carrier shall offer to each enrollee at the contracted benefit level and until the enrollee's plan renewal date any prescription drug that was approved or covered under the plan for a medical condition or mental illness, regardless of whether the drug has been removed from the health benefit plan's drug formulary before the plan renewal date.

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

Changed Version

Text to be added highlighted in green.

1 New Paragraphs; Managed Care Law; Prescription Drugs. Amend RSA 420-J:7-b by inserting after paragraph I the following new paragraphs:

I-a. A health carrier may modify drug coverage provided under a health benefit plan if:

(a) The modification occurs at the time of coverage renewal; and

(b) The modification is effective uniformly among all group health benefit plan sponsors covered by identical or substantially identical health benefit plans or all individuals covered by identical or substantially identical individual health benefit plans, as applicable.

I-b. The health carrier shall offer to each enrollee at the contracted benefit level and until the enrollee's plan renewal date any prescription drug that was approved or covered under the plan for a medical condition or mental illness, regardless of whether the drug has been removed from the health benefit plan's drug formulary before the plan renewal date.

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