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Health insurance; prescription drug formularies. Requires health insurance carriers to provide coverage for a generic drug or a biosimilar when the carrier provides coverage for the brand drug or product and the generic drug or biosimilar has a lower wholesale acquisition cost than the brand drug or product with more favorable cost-sharing, including actual out-of-pocket costs, relative to the brand drug or product. Additionally, the bill requires carriers to publish an up-to-date, accurate, and complete list of all covered drugs on its formulary, including any tiering structure that it has adopted and any restrictions on the manner in which a drug can be obtained, in a manner that is easily accessible to plan enrollees, prospective enrollees, and the general public.
Introduced
Jan 8, 2025
Last Action
Feb 5, 2025
Session
VA 2025
Sponsors
1 primary · 0 co
Left in Labor and Commerce
Subcommittee recommends laying on the table (7-Y 0-N)
Assigned L & C sub: Subcommittee #1
Prefiled and ordered printed; Offered 01-08-2025 25104567D
Referred to Committee on Labor and Commerce
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
Left in Labor and Commerce
Mark D. Sickles