Insurance, Health, Accident - As introduced, prohibits an insurer, pharmacy benefits manager, or third-party administrator from changing or conditioning the terms of health plan coverage based on availability of financial or other product assistance for a prescription drug; establishes certain procedures for calculating an enrollee's contribution to an applicable cost sharing requirement. - Amends TCA Title 4; Title 8; Title 10; Title 53; Title 56; Title 63; Title 68 and Title 71.

Summary

The bill bars insurers, pharmacy‑benefit managers, and third‑party administrators from altering health‑plan benefits because a patient receives financial or product help for a prescription. It also requires that any cost‑sharing amounts paid by the enrollee or on their behalf be counted when calculating the enrollee’s share of costs. The changes apply to health plans entered into after Jan. 1, 2026.

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

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