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HF 1475

as introduced - 89th Legislature (2015 - 2016) Posted on 03/05/2015 02:07pm

KEY: stricken = removed, old language.
underscored = added, new language.
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A bill for an act
 relating to health insurance; requiring coverage under health plans for certain
prescription eyedrops refills; proposing coding for new law in Minnesota
Statutes, chapter 62A.

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

Section 1.

new text begin [62A.3095] PRESCRIPTION EYEDROPS COVERAGE.
 new text end

new text begin Subdivision 1. new text end

new text begin Scope of coverage. new text end

new text begin This section applies to all health plans, as
defined in section 62A.011, subdivision 3, that provide coverage to Minnesota residents.
 new text end

new text begin Subd. 2. new text end

new text begin Required coverage. new text end

new text begin (a) Every health plan included in subdivision 1 that
provides coverage for prescription eyedrops shall not deny coverage for a refill of the
prescription eyedrops if the refill is requested by the person insured by the health plan,
pursuant to paragraph (b), and if the prescribing practitioner indicated on the original
prescription that additional quantities are needed and the refill requested by the insured
does not exceed the number of additional quantities needed.
 new text end

new text begin (b) Coverage shall only be provided pursuant to paragraph (a) if the insured makes
a refill request for:
 new text end

new text begin (1) a 30-day refill supply and the request is made between 21 and 30 days from
the later of:
 new text end

new text begin (i) the original date that the prescription was distributed to the insured; or
 new text end

new text begin (ii) the date the most recent refill was distributed to the insured; or
 new text end

new text begin (2) a 90-day refill supply and the request is made between 75 and 90 days from
the later of:
 new text end

new text begin (i) the original date that the prescription was distributed to the insured; or
 new text end

new text begin (ii) the date the most recent refill was distributed to the insured.
 new text end