SB268

Pennsylvania SB268 amends the Insurance Company Law of 1921 to change how insurers calculate cost-sharing for insured individuals.

Pennsylvania SB268 amends the Insurance Company Law of 1921 to modify the calculation of cost-sharing for insured individuals under a health insurance policy. Specifically, it requires insurers to include any cost-sharing amounts paid by the insured or on behalf of the insured by another person when calculating the insured's contribution to cost-sharing requirements. This includes amounts paid by a pharmacy benefits manager that administers pharmacy benefits for the insurer. The changes apply to health insurance policies issued or renewed on or after the effective date of this act.