HB 1543 -  Prescription Drug Coverage

by Gonzalez Pittman
Requires individual & group health insurers & HMOs to provide notice of prescription drug formulary changes within certain timeframe to current & prospective insureds & subscribers & treating physicians; specifies requirements for notice of medical necessity submitted by treating physician; specifies coverage requirement & restrictions on coverage modification by insurers & HMOs receiving notice of medical necessity; requires insurers & HMOs to maintain record of formulary changes; requires insurers & HMOs to annually submit specified report to OIR by specified date; requires office to annually compile certain data & prepare report, make report publicly accessible on its website, & submit report to Governor & Legislature by specified date; requires small employer carriers to comply with certain requirements for prescription drug formulary changes.
Effective Date: January 1, 2025
Last Event: Died in Select Committee on Health Innovation on Friday, March 8, 2024 2:25 PM

Related Bills

Staff Analysis

(None Available)

Vote History

(No Votes Recorded)

Bill History

Event Time Member Committee Ver.
Event: H Died in Select Committee on Health Innovation Time: 03/08/2024 - 2:25 PM Member: Committee: Select Committee on Health Innovation Version: __
Event: H Now in Select Committee on Health Innovation Time: 01/13/2024 - 9:37 AM Member: Committee: Select Committee on Health Innovation Version: __
Event: H Referred to Health & Human Services Committee Time: 01/13/2024 - 9:37 AM Member: Committee: Health & Human Services Committee Version: __
Event: H Referred to Appropriations Committee Time: 01/13/2024 - 9:37 AM Member: Committee: Appropriations Committee Version: __
Event: H Referred to Select Committee on Health Innovation Time: 01/13/2024 - 9:37 AM Member: Committee: Select Committee on Health Innovation Version: __
Event: H 1st Reading Time: 01/09/2024 - 11:31 PM Member: Committee: Version: __
Event: H Filed Time: 01/08/2024 - 3:24 PM Member: Gonzalez Pittman Committee: Version: __