VA SB376 | 2025 | Regular Session

Note: Carry Over of previous SB376

Status

Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on January 9 2024 - 25% progression
Action: 2024-01-22 - Continued to 2025 in Commerce and Labor (15-Y 0-N)
Pending: Senate Commerce and Labor Committee
Text: Latest bill text (Prefiled) [HTML]

Summary

Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least 50 percent of all health plans offered by the carrier, or at least one health plan if the carrier offers fewer than two health plans, in each rating area and in each of the bronze, silver, gold, and platinum levels of coverage in the individual and small group market conform with the following: (i) a plan that offers a silver, gold, or platinum level of coverage limits a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $100 per 30-day supply of the prescription drug and (ii) a plan that offers a bronze level of coverage limits a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $150 per 30-day supply of the prescription drug. The bill provides that such limits apply at any point in the benefit design, including before and after any applicable deductible is reached. The bill requires that any plans offered to meet its requirements are (a) clearly and appropriately named to aid the consumer or plan sponsor in the plan selection process and (b) marketed in the same manner as other plans offered by the health insurance carrier. The provisions of the bill apply with respect to health plans entered into, amended, extended, or renewed on or after January 1, 2025.

Tracking Information

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Title

Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.

Sponsors


Roll Calls

2024-01-22 - Senate - Senate: Continued to 2025 in Commerce and Labor (15-Y 0-N) (Y: 15 N: 0 NV: 0 Abs: 0) [PASS]

History

DateChamberAction
2024-01-22SenateContinued to 2025 in Commerce and Labor (15-Y 0-N)
2024-01-09SenateReferred to Committee on Commerce and Labor
2024-01-09SenatePrefiled and ordered printed; offered 01/10/24 24104907D

Same As/Similar To

SB376 (Carry Over) 2024-01-22 - Continued to 2025 in Commerce and Labor (15-Y 0-N)

Subjects


Code Citations

ChapterArticleSectionCitation TypeStatute Text
3823407.15:8(n/a)See Bill Text

Virginia State Sources


Bill Comments

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