as introduced - 91st Legislature (2019 - 2020) Posted on 03/26/2020 01:13pm
Engrossments | ||
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Introduction | Posted on 03/09/2020 |
A bill for an act
relating to insurance; health; requiring individual and small group health plan
offerings to include a predeductible, flat co-pay on prescription drug option;
amending Minnesota Statutes 2018, section 62Q.81, by adding a subdivision.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Minnesota Statutes 2018, section 62Q.81, is amended by adding a subdivision
to read:
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(a) A health plan company that offers individual
health plans must offer within each geographic area that they service at least one individual
health plan at each level of coverage described in subdivision 1, paragraph (b), clause (3),
which applies a predeductible, flat-dollar amount co-payment structure to the entire drug
benefit, including all tiers.
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(b) A health plan company that offers small group health plans must offer within each
geographic area that they service at least one small group health plan at each level of coverage
described in subdivision 1, paragraph (b), clause (3), which applies a predeductible, flat-dollar
amount co-payment structure to the entire drug benefit, including all tiers.
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(c) The highest allowable co-payment for the highest cost drug tier for health plans
offered pursuant to this subdivision must be no greater than 1/12 of the plan's out-of-pocket
maximum for an individual.
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(d) The flat-dollar amount co-payment tier structure for prescription drugs under this
subdivision must be graduated and proportionate.
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(e) All individual and small group health plans offered pursuant to this subdivision must
be:
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(1) clearly and appropriately named to aid the purchaser in the selection process;
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(2) marketed in the same manner as other health plans offered by the health plan company;
and
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(3) offered for purchase to any individual or small group.
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This section is effective January 1, 2021, and applies to individual
and small group health plans offered, issued, or renewed on or after that date.
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