Bill Text: IN SB0359 | 2013 | Regular Session | Introduced
Bill Title: Mail order or Internet based pharmacy use.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2013-01-08 - First reading: referred to Committee on Health and Provider Services [SB0359 Detail]
Download: Indiana-2013-SB0359-Introduced.html
Citations Affected: IC 5-10-8-13; IC 27-8-31.2-6; IC 27-13-37.5-3.
Synopsis: Mail order or Internet based pharmacy use. Prohibits certain
actions by a health benefit plan, insurer, health maintenance
organization, or pharmacy benefit manager related to covered
individual use of mail order pharmacies.
Effective: July 1, 2013.
January 8, 2013, read first time and referred to Committee on Health and Provider
Services.
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in
Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or
A BILL FOR AN ACT to amend the Indiana Code concerning
insurance.
(b) As used in this section, "employee health benefit plan" means a group plan of self-insurance, policy, or contract that:
(1) provides coverage for prescription drugs; and
(2) is established, purchased, or entered into by an employer for the benefit of the employer's employees.
(c) As used in this section, "employer" means the following:
(1) A public employer.
(2) A state educational institution.
(d) As used in this section, "mail order or Internet based pharmacy" has the meaning set forth in IC 25-26-18-1.
(e) An employee health benefit plan that provides coverage for prescription drugs may designate a mail order or an Internet based
pharmacy to provide prescription drugs to a covered individual.
(f) An employee health benefit plan may not require a covered
individual to obtain a prescription drug from a pharmacy designated
under subsection (e) as a condition of coverage.
(g) An employee health benefit plan, including a pharmacy
benefit manager affiliated with an employee health benefit plan,
may not do the following:
(1) Require a covered individual to use a mail order or
Internet based pharmacy to obtain at least a ninety (90) day
supply of a prescription medication.
(2) Require a covered individual to pay a higher copayment,
coinsurance, or other out of pocket cost to obtain a
prescription medication from a pharmacy other than a mail
order or Internet based pharmacy.
(1) Require an insured to use a mail order or Internet based pharmacy to obtain at least a ninety (90) day supply of a prescription medication.
(2) Require an insured to pay a higher copayment, coinsurance, or other out of pocket cost to obtain a prescription medication from a pharmacy other than a mail order or Internet based pharmacy.
(1) Require an enrollee to use a mail order or Internet based pharmacy to obtain at least a ninety (90) day supply of a prescription medication.
(2) Require an enrollee to pay a higher copayment or other out of pocket cost to obtain a prescription medication from a pharmacy other than a mail order or Internet based pharmacy.
