Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.

Health insurance; limit on cost-sharing paymentsfor prescription drugs under certain plans. Requires each carrierthat offers a health plan in either the individual or small groupmarket to ensure that at least 50 percent of all health plans offeredby the carrier, or at least one health plan if the carrier offersfewer than two health plans, in each rating area and in each of thebronze, silver, gold, and platinum levels of coverage in the individualand small group market conform with the following: (i) a plan thatoffers a silver, gold, or platinum level of coverage limits a person'scost-sharing payment for prescription drugs covered under the planto an amount that does not exceed $100 per 30-day supply of the prescriptiondrug and (ii) a plan that offers a bronze level of coverage limitsa person's cost-sharing payment for prescription drugs covered underthe plan to an amount that does not exceed $150 per 30-day supplyof the prescription drug. The bill provides that such limits applyat any point in the benefit design, including before and after any applicable deductible is reached. The bill requires that any plansoffered to meet its requirements are (a) clearly and appropriatelynamed to aid the consumer or plan sponsor in the plan selection processand (b) marketed in the same manner as other plans offered by thehealth insurance carrier. The provisions of the bill apply with respectto health plans entered into, amended, extended, or renewed on orafter January 1, 2025.