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2013 SESSION

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SB 945 Patient assistance programs; work group to develop recommendations regarding specialty drug needs.

Introduced by: Linda T. Puller | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED SENATE:

Health insurance; installment payments of cost-sharing obligations. Directs the Virginia Department of Health to convene a work group, which is to develop recommendations regarding issues relating to patient assistance programs for specialty drug needs and the authority of health insurers to move a drug to a higher cost-sharing tier or otherwise modify prescription drug coverage. The bill incorporates SB 947.

SUMMARY AS INTRODUCED:

Health insurance; installment payments of cost-sharing obligations. Requires health plans to allow certain covered persons to pay their cost-sharing obligations under their health benefit plan in 12 equal monthly installments. The option is to be provided to covered persons who are reasonably expected to incur cost-sharing obligations as a result of their pharmacy benefits that exceed their total annual cost-sharing obligations under their health benefit plan.