Missouri SB1327 regulates cost-sharing under health benefit plans, prohibiting variation based on cost-sharing assistance programs.
Missouri SB1327 amends the state's health benefit plan regulations to ensure that health carriers and pharmacy benefits managers do not vary cost-sharing requirements based on cost-sharing assistance programs. It mandates that any payments for medications without generic substitutes be included in an enrollee's out-of-pocket maximum. The bill also specifies that these provisions do not apply to health benefit plans governed by the Labor Management Relations Act of 1947 and will apply to plans entered into, amended, extended, or renewed after August 28, 2026.
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