IndianaHB 1252First Regular Session 124th General Assembly (2025)House

Limitation on cost sharing.

Sponsored By: Ben Smaltz (Republican)

Failed

Summary

Requires an insurer, an administrator, and a pharmacy benefit manager to apply the annual limitation on cost sharing set forth in the federal Patient Protection and Affordable Care Act under 42 U.S.C. 18022(c)(1). Provides that an insurer, an administrator, and a pharmacy benefit manager may not directly or indirectly set, alter, implement, or condition the terms of health insurance coverage based in part or entirely on information about the availability or amount of financial or product assistance available for a prescription drug. Requires, before December 31 of each year, each insurer and administrator to certify to the insurance commissioner that the insurer or administrator has fully and completely complied with the cost sharing requirements during the previous calendar year.

insurance

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Ben Smaltz

    Republican • House

Cosponsors

  • Julie McGuire

    Republican • House

  • Matt Lehman

    Republican • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Coauthored by Representatives Lehman and McGuire

    1/9/2025House
  2. Authored by Representative Smaltz

    1/9/2025House
  3. First reading: referred to Committee on Insurance

    1/9/2025House

Bill Text

  • Introduced House Bill (H)

Related Bills

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