AN ACT RELATING TO INSURANCE -- PRESCRIPTION DRUG BENEFITS

Summary

The bill changes Rhode Island law so that any money an enrollee pays—or that a third party pays for them—for prescription drugs is counted toward their out‑of‑pocket maximum and cost‑sharing requirements. It applies to drugs without a generic version or to generic drugs obtained after prior‑authorization, step‑therapy, or an appeal. The change affects health plans, insurers, and pharmacy benefit managers and aims to make cost‑sharing calculations more transparent for consumers.

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

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