UTA LEG Health Benefit Prescriptions


On Feb. 28, UTA LEG passed bill on health plans and prescriptions.


  • UTA LEG passed SB0166S02 creating new section UTA LEG 31A-22-660, re health benefit plans related to prescriptions, defining terms, requiring certain procedures.
  • Provisions
  • Defines long-term drug as an enrollee's prescription that has been active 180 days.
  • Requires procedures in order to change a prescription for a long-term drug to another.
  • Requirement does not apply if change requires change to generic or biosimilar or the current long-term drug is not on the health plan's prescription drug formulary.
  • Specified this does not apply to drug provided under health plan's medical benefits.
  • Legislative History
  • On Jan 30, 2024, bill introduced in Senate; on Feb. 13, 2024, bill passed Senate.
  • On Feb. 13, 2024, bill introduced in House; on Feb. 28, 2024, bill passed House.
  • Effectiveness
  • Upon approval by the governor or veto override, SB0166S02 takes effect May 1, 2024.
  • Mar. 2024 UTA LEG Governor Approval
  • On Mar. 14, 2024, UTA LEG Governor approved bill SB 166, effective May 1, 2024.

Regulators UTA LEG
Entity Types Ins
Reference Bill, 3/14/2024; Bill SB0166S02, 2/28/2024; Citation: UTA LEG 31A-22;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 2/28/2024
Effective Date 5/1/2024
Rule Id 202731
Linked to N/A
Reg. Last Update 3/14/2024
Report Section US Insurance

Last substantive update on 03/20/2024