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Legislative Year: 2024 Change
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Bill Detail: HB24-1010

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Title Insurance Coverage for Provider-Administered Drugs
Status Introduced In Senate - Assigned to Health & Human Services (03/26/2024)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors M. Soper (R)
I. Jodeh (D)
Senate Sponsors D. Michaelson Jenet (D)
House Committee Health and Human Services
Senate Committee Health and Human Services
Date Introduced 01/10/2024
Summary

For a covered person with a chronic, complex, rare, or
life-threatening medical condition, the bill prohibits a carrier from:
  • Requiring a provider-administered drug to be dispensed
only by certain pharmacies or only by a pharmacy
participating in the carrier's network;
  • If a provider-administered drug is otherwise covered by the
carrier for the covered person, limiting or excluding
coverage for the drug based on the covered person's choice
of pharmacy or because the drug was not dispensed by a
pharmacy that participates in the carrier's network;
  • Requiring a participating provider to bill for or be
reimbursed for the delivery and administration of a
provider-administered drug under the pharmacy benefit
instead of the medical benefit without informed, written
consent of the covered person and written attestation by the
covered person's participating provider that a delay in the
drug's administration will not place the covered person at
an increased health risk; or
  • Requiring a covered person to pay additional fees,
copayments, or coinsurance based on the covered person's
choice of pharmacy or because the provider-administered
drug was not dispensed by a pharmacy that participates in
the carrier's network.

Committee Reports
with Amendments
Full Text
Full Text of Bill (pdf) (most recent)
Fiscal Notes Fiscal Notes (03/27/2024) (most recent)  
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