Establish an insulin price cap. Each individual policy of disability insurance or certificate issued that contains coverage for prescription drugs must, for at least one insulin in each category of insulin, limit the insured's required copayment or other cost-sharing requirement to $40 for each 30-day supply of covered insulin, regardless of the amount of insulin prescribed. And coverage of insulin prescribed for an insured is not subject to a deductible.
Allow licensed clinical social workers and therapists to treat chronic pain.
Create a mini-COBRA law for small employer health insurance plans. Allows employees of small employers to elect continuation of insurance coverage on termination of employment.
Establish cap on insulin cost-sharing requirements. Each individual policy of disability insurance or certificate issued that contains coverage for prescription drugs must, for at least one insulin in each category of insulin, limit the insured's required copayment or other cost-sharing requirement to $100 for each 30-day supply of covered insulin, regardless of the amount of insulin prescribed. And coverage of insulin prescribed for an insured is not subject to a deductible.
Establish wholesale drug importation program for life-sustaining drugs or drugs that maintain a healthy standard of living. The department and board, in consultation with appropriate federal and state agencies and other interested parties, shall design a wholesale prescription drug importation program that complies with the applicable requirements of 21 U.S.C. 384, including the requirements regarding safety and cost savings. The department and board shall consult with the office of the attorney general to identify the potential for and to monitor for anticompetitive behavior in industries that would be affected by the program.
Revise state income tax medical care savings account investment options. An act generally revising medical care savings account laws; allowing investment of medical care savings account funds in stocks, bonds, and mutual funds; providing that investment options that qualify under a federal health savings account are permissible; providing a transition clause to allow a tax-free rollover from an existing medical care savings account; amending section 15-61-204, MCA; and providing an immediate effective date and a retroactive applicability date.
This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See Montana page. Montana promotes the use of telemedicine by providing coverage and cost-sharing parity between telemedicine and in-person services. Coverage for telemedicine services must be equivalent to the coverage for in-person services. To make telemedicine services more affordable to patients, cost-sharing requirements that are not generally applicable to in-person services may not be imposed on telemedicine services. [...]
Revise laws relating to certificate of need. AN ACT REVISING CERTIFICATES OF NEED TO INCLUDE ONLY LONG-TERM CARE FACILITIES AND SERVICES; AND AMENDING SECTIONS 50-5-101, 50-5-301, 50-5-302, 50-5-304, 50-5-307, 50-5-308, 50-5-309, AND 53-6-110, MCA.
Newly available on the Source: our health policy research team compiled a user-friendly, downloadable Excel spreadsheet of all provider merger review authority for all 50 states, now on the Market Consolidation interactive key issue page. The detailed chart provides clickable citations of all statutes, regulations, and state authority for mergers, acquisitions, conversions, or changes in ownership of healthcare providers. The comprehensive spreadsheet allows side-by-side comparisons of the level of legal authority for each state to receive notice of impending transactions, review those transactions, and approve, conditionally approve, or disapprove them. It is conveniently organized [...]
