Creates provisions relating to cost-sharing under health benefit plans

Summary

The bill would make health insurers and pharmacy benefit managers include any payments for medications without a generic substitute when calculating an enrollee’s out‑of‑pocket maximum or other cost‑sharing. It also stops them from adjusting those limits based on whether a cost‑sharing assistance program exists for such drugs. The measure applies to most health plans starting in August 2026.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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