Bill Text: CA SB473 | 2021-2022 | Regular Session | Amended
Bill Title: Health care coverage: insulin cost sharing.
Spectrum: Bipartisan Bill
Status: (Engrossed - Dead) 2022-08-11 - August 11 hearing: Held in committee and under submission. [SB473 Detail]
Download: California-2021-SB473-Amended.html
Amended
IN
Senate
January 03, 2022 |
Amended
IN
Senate
March 10, 2021 |
Introduced by Senator Bates |
February 17, 2021 |
LEGISLATIVE COUNSEL'S DIGEST
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the act’s requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan contract or health insurance policy issued, amended, delivered, or renewed on or after January 1, 2000, to include coverage for equipment, supplies, and, if the contract or policy covers prescription benefits, prescriptive medications for the management and treatment of insulin-using diabetes, non-insulin-using diabetes, and gestational diabetes, as medically necessary.
This bill would prohibit a health care service plan contract or a health insurance policy that is
issued, amended, delivered, or renewed on or after January 1, 2022, from imposing cost sharing on a covered insulin prescription, except for a copayment not to exceed $50 per 30-day supply of insulin, or $100 total per month, regardless of the amount or type of insulin needed to fill the enrollee’s or insured’s prescription or prescriptions. Because a willful violation of these provisions by a health care service plan would be a crime, the bill would impose a state-mandated local program.
The California Constitution requires the state
to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESBill Text
The people of the State of California do enact as follows:
SECTION 1.
The Legislature finds and declares that:SEC. 2.
Section 1367.51 of the Health and Safety Code is amended to read:1367.51.
(a)(d) Every
(e)
(f)
(g) Every
(h)
(i) Nothing in this section shall be construed to
SEC. 3.
Section 10176.61 of the Insurance Code is amended to read:10176.61.
(a)(d) Every
(e)
(f)
(g) Every disability
(h) An
(i)