Missouri SB1448 regulates cost-sharing under health benefit plans, prohibiting variations based on cost-sharing assistance programs.
Missouri SB1448 amends Chapter 376 to establish provisions for cost-sharing under health benefit plans. It prohibits pharmacy benefits managers from altering an enrollee's out-of-pocket maximum or cost-sharing based on cost-sharing assistance programs for medications without generic substitutes. The bill mandates that health carriers and pharmacy benefits managers include payments for such medications in calculating an enrollee's overall contribution to out-of-pocket maximums or cost-sharing requirements.
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- Legal Framework
- Critical Issues
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