Ohio HB937 prohibits certain health insurance cost-sharing practices and regulates pharmacy benefit managers.
Ohio HB937 amends the state's insurance laws to prohibit specific cost-sharing practices in health insurance plans. It restricts health insuring corporations from imposing copayments, cost sharing, deductibles, or similar charges for brand prescription drugs when a medically appropriate generic equivalent is available, unless medically necessary. The bill also mandates that pharmacy benefit managers comply with cost-sharing requirements and prohibits them from altering coverage terms based on financial or product assistance for prescription drugs.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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