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House of Representatives
Session of 2017 - 2018 Regular Session


Posted: February 6, 2018 11:14 AM
From: Representative Will Tallman
To: All House members
Subject: Coverage of Prescriptions

In the near future, I plan to introduce legislation to update language contained in the Insurance Company Law as it pertains to coverage of prescriptions and retail pharmacies.

As some background, Act 207 of 2012 provides that a consumer may not be charged more cost-sharing for using a retail pharmacy rather than a mail order service. This prohibition only applies if the retail pharmacy is willing to accept the same pricing, terms, conditions or requirements related to the cost of the prescriptions and the cost and quality of dispensing prescriptions that the insurer has established for the mail order pharmacy.

In an effort to enhance Act 207 and ensure the Insurance Department is enforcing the Act, my legislation will establish a procedure for retail pharmacies to file complaints with the Insurance Department and will require the Department to review a complaint and determine whether an insurer is in compliance.

Please join me in cosponsoring this important legislation.