SB154DeadHealthcare
provide for the calculation of cost-sharing requirements regarding pharmacy benefits management.
This bill requires health plans and pharmacy benefits managers to count all amounts a patient pays toward their deductibles, copayments, and other out-of-pocket costs—including payments made by other people on their behalf—when calculating how much the patient has contributed toward their annual limits. The change ensures patients get credit for all their costs, not just what they personally pay out of pocket, which could help them reach their coverage limits faster.