AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

Summary

The bill adds new rules that require pharmacy benefit managers to send a detailed, medically‑sound justification to both the prescribing provider and the patient before refusing to pay for a prescription. The notice must be reviewed by a licensed clinician and include their credentials. It aims to increase transparency and give patients and doctors a chance to appeal denied drugs.

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

Topics

Share