Missouri HB1681 establishes cost-sharing rules for health benefit plans, excluding certain plans and medications.
Missouri HB1681 amends Chapter 376 of the Revised Statutes of Missouri by adding a new section, 376.448, which sets provisions for cost-sharing under health benefit plans. This includes defining terms such as "cost-sharing," "enrollee," "generic drug," and "health benefit plan." The bill mandates that health carriers and pharmacy benefits managers include payments for medications without generic substitutes in cost-sharing calculations. It prohibits varying out-of-pocket maximums or cost-sharing based on cost-sharing assistance programs.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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