health insurers; limit amount on co-pay for prescription insulin
Human services: medical services; Medicaid managed care contract with pharmacy benefit manager; regulate, and require reporting.
House Bill 4409 would create a new act, the Drug Manufacturer Data Reporting Act, which would require drug manufacturers to disclose certain information on costs and pricing to the Department of Insurance and Financial Services (DIFS) on an annual basis. The reports and information would be exempt from disclosure under the Freedom of Information Act (FOIA). DIFS could promulgate rules to implement the act
House Bill 4434 would amend the Insurance Code to require an insurer that delivers, issues for delivery, or renews in Michigan a health insurance policy that provides coverage for prescription drugs to provide coverage for up to a 90-day supply of any covered maintenance prescription drug, defined as a prescription drug that meets all of the following: • It is covered by the policy, certificate, or contract. • It is used for the management and treatment of a chronic long-term care condition and has authorized refills that remain available. • Except for anti-epileptic prescription [...]
Insurance: health benefits; application of amount paid by the insured or other certain parties when calculating the insured’s co-pay for a prescription drug; require under certain conditions.