South Carolina S0100 regulates pharmacy insurance benefits cost-sharing for healthcare services.

South Carolina S0100 amends the state code to define terms and outline requirements for cost-sharing for pharmacy benefits managers. It mandates that insurers include all cost-sharing amounts paid by or on behalf of an enrollee when calculating contributions. The bill applies to health plans entered into, amended, extended, or renewed on or after January 1, 2027. It prohibits insurers from altering health plan coverage terms based on financial or product assistance information. The act also restricts pharmacy benefits managers from setting terms based on such information.

South Carolina S0100 regulates pharmacy insurance benefits cost-sharing for healthcare services.

South Carolina S0100 amends the state code to define terms and outline requirements for cost-sharing for pharmacy benefits managers. It mandates that insurers include all cost-sharing amounts paid by or on behalf of an enrollee when calculating contributions. The bill applies to health plans entered into, amended, extended, or renewed on or after January 1, 2027. It prohibits insurers from altering health plan coverage terms based on financial or product assistance information. The act also restricts pharmacy benefits managers from setting terms based on such information.