On Mar. 5, ORE LEG passed bill on enrollee cost-sharing contributions.
ORE LEG passed Bill HB 4113 related to employee's contribution to health care costs.
Requires certain parties count payments made by/on behalf of an enrollee for costs of certain prescription drugs when calculating enrollee's contribution to cost-sharing.
When considering enrollee contributions, insurers must count any costs paid from coupons or from a third party, towards the enrollee costs for prescription drugs.
Exempts generic drugs and drugs with generic options and if enrollee has not sought prior authorization or completed step therapy before obtaining the brand name drug.
For high deductible plans, provisions apply after enrollee satisfied minimum deductible.
Legislative History
On Feb. 5, 2024, bill introduced in House; on Feb. 20, 2024, bill was passed in House.
On Feb. 21, 2024, bill delivered to Senate; on Mar. 5, 2024, bill was passed in Senate.
Effectiveness
If enacted, Bill HB 4113 takes effect 91st day after adjournment sine die, Jun. 6, 2024.
Mar. 2024 ORE LEG Governor Approval
On Mar. 28, 2024, ORE LEG reported that bill HB 4113 was approved by the governor on Mar. 27, 2024, and assigned Chapter 35; becomes effective on Jan. 1, 2025.
Document dated Mar. 28, 2024, was received on Apr. 16, due to a fixed feed.
