By Mark Hobraczk, JD, MPA
Democratic lawmakers introduce scaled-down bills to limit discriminatory cost-sharing
Senator Rosalyn Dance (D) and Delegate Jennifer McClellan (D) introduced legislation at the start of the legislative session last week that would prohibit health insurers from placing prescription drugs on their highest cost-sharing tier unless at least one prescription drug that is in the same therapeutic class and is a medically appropriate alternative treatment for a given condition is available on a lower costsharing tier.
The bills (S.B. 442 and H.B. 702) are more limited than the versions both lawmakers sponsored last year that also would have limited cost-sharing obligations for a specialty tier drug to no more than $100 per month for a 30-day supply (see Specialty Tier Reform Update for Week of January 19, 2015).