Bill Text: MS SB2302 | 2010 | Regular Session | Introduced
Bill Title: Health insurance policies; prohibit from limiting or denying coverage for any drugs upon certain conditions.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Failed) 2010-02-02 - Died In Committee [SB2302 Detail]
Download: Mississippi-2010-SB2302-Introduced.html
MISSISSIPPI LEGISLATURE
2010 Regular Session
To: Insurance
By: Senator(s) Dearing
Senate Bill 2302
AN ACT TO PROHIBIT HEALTH INSURANCE POLICIES OR HEALTH CARE SERVICE PLAN CONTRACTS THAT COVER PRESCRIPTION DRUGS FROM LIMITING, REDUCING OR DENYING COVERAGE FOR ANY DRUG UPON CERTAIN CONDITIONS; AND FOR RELATED PURPOSES.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:
SECTION 1. A health insurance policy or health care service plan contract that covers prescription drugs shall not limit, reduce or deny coverage for any drug, if prior to the limitation, reduction or denial of coverage: (a) the insured was using the drug; (b) the insured was covered under the policy or contract; and (c) the drug was covered under the policy or contract. A limitation, reduction or denial of coverage includes removing a drug from the formulary or other drug list, imposing new prior authorization or other utilization management tools, or placing the drug on a formulary tier that increases the patient's cost-sharing obligations or otherwise increases the patient's cost-sharing obligations. Nothing in this provision shall prohibit an insurer from making uniform changes in its benefit design that applies to all covered drugs or from increasing cost-sharing obligations merely due to a percentage coinsurance payment that necessarily increases with an increase in the underlying drug prices.
SECTION 2. This act shall take effect and be in force from and after July 1, 2010.
