Bill Text: HI SB2009 | 2020 | Regular Session | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating To Health.

Spectrum: Partisan Bill (Democrat 7-0)

Status: (Introduced) 2020-02-14 - Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. [SB2009 Detail]

Download: Hawaii-2020-SB2009-Introduced.html

THE SENATE

S.B. NO.

2009

THIRTIETH LEGISLATURE, 2020

 

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

relating to health.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


     SECTION 1.  Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part I of article 10A to be appropriately designated and to read as follows:

     "§431:10A-A  Cost-sharing in prescription insulin drugs; limits.  (a)  Each policy of accident and health or sickness insurance providing coverage for prescription insulin drugs shall cap the total amount that an insured is required to pay for a prescription insulin drug at an amount not to exceed $100 per thirty-day supply of that drug, regardless of the amount or type of insulin needed to fill the insured's prescription.

     (b)  Nothing in this section shall prevent an insurer from reducing an insured's cost-sharing by an amount greater than the amount specified in subsection (a).

     (c)  As used in this section, unless the context clearly requires otherwise, "prescription insulin drug" means a prescription drug, as defined in section 328-1, that contains insulin and is used to treat diabetes."

     SECTION 2.  Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to part II of article 10A to be appropriately designated and to read as follows:

     "§431:10A-B  Cost-sharing in prescription insulin drugs; limits.  (a)  Each group policy of accident and health or sickness insurance providing coverage for prescription insulin drugs shall cap the total amount that an insured is required to pay for a prescription insulin drug at an amount not to exceed $100 per thirty-day supply of that drug, regardless of the amount or type of insulin needed to fill the insured's prescription.

     (b)  Nothing in this section shall prevent an insurer from reducing an insured's cost-sharing by an amount greater than the amount specified in subsection (a).

     (c)  As used in this section, unless the context clearly requires otherwise, "prescription insulin drug" means a prescription drug, as defined in section 328-1, that contains insulin and is used to treat diabetes."

     SECTION 3.  Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to part VI of article 1 to be appropriately designated and to read as follows:

     "§432:1-     Cost-sharing in prescription insulin drugs; limits.  (a)  Each individual and group hospital and medical service corporation contract providing coverage for prescription insulin drugs shall cap the total amount that a subscriber is required to pay for a prescription insulin drug at an amount not to exceed $100 per thirty-day supply of that drug, regardless of the amount or type of insulin needed to fill the subscriber's prescription.

     (b)  Nothing in this section shall prevent a mutual benefit society from reducing a subscriber's cost-sharing by an amount greater than the amount specified in subsection (a).

     (c)  As used in this section, unless the context clearly requires otherwise, "prescription insulin drug" means a prescription drug, as defined in section 328-1, that contains insulin and is used to treat diabetes."

     SECTION 4.  Section 432D-23, Hawaii Revised Statutes, is amended to read as follows:

     "§432D-23  Required provisions and benefits.  Notwithstanding any provision of law to the contrary, each policy, contract, plan, or agreement issued in the State after January 1, 1995, by health maintenance organizations pursuant to this chapter, shall include benefits provided in sections 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A-116, 431:10A-116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A-126, 431:10A-132, 431:10A-133, 431:10A-140, 431:10A-A, and 431:10A-134, and chapter 431M."

     SECTION 5.  This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.

     SECTION 6.  In codifying the new sections added by sections 1 and 2 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act.

     SECTION 7.  New statutory material is underscored.

     SECTION 8.  This Act shall take effect upon its approval.

 

INTRODUCED BY:

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Report Title:

Insurance; Insulin; Cost-sharing; Caps

 

Description:

Places a cap on the total amount that an insured is required to pay for a prescription insulin drug at $100 per thirty-day supply of that drug.

 

 

 

The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.

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