California AB577 aims to protect patients' rights in prescription drug coverage by prohibiting certain practices by health insurers and pharmacy.
California AB577 introduces provisions to safeguard patients' rights in prescription drug coverage. It prohibits health insurers and pharmacy benefit managers from requiring patients to self-administer injected or infused medications if a healthcare provider deems it medically necessary for administration by a professional. The bill also prevents insurers from imposing cost-sharing requirements that exceed those for mail-order pharmacy administration. Additionally, it bans insurers from refusing to authorize or pay in-network providers for covered injected or infused medications.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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