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Senate Bill 1076 |
Senate Author: Schwertner |
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Effective: 9-1-17 |
House Sponsor: Bonnen, Greg et al. |
Senate Bill 1076 amends the Insurance Code to prohibit a health benefit plan issuer that covers prescription drugs from requiring an enrollee to make a payment for a prescription drug at the point of sale in an amount greater than the lesser of the applicable copayment, the allowable claim amount for the prescription drug, or the amount an individual would pay for the drug if the individual purchased the drug without using a health benefit plan or any other source of drug benefits or discounts. The bill requires a health benefit plan that covers prescription eye drops to treat a chronic eye disease or condition to allow the refill of prescription eye drops if the enrollee timely pays at the point of sale the maximum allowed amount and the original prescription and refill meet certain conditions.