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Key Votes

HB 4543 - Establishes an Insulin Price Cap - West Virginia Key Vote

Joseph Jeffries voted Yea (Passage) on this Legislation.

Read statements Joseph Jeffries made in this general time period.

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Issues Related to HB 4543

Stage Details

Legislation - Bill Passed (House) (94-4) - (Key vote)
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Title: Establishes an Insulin Price Cap

Vote Result
Yea Votes
Nay Votes
Vote Smart's Synopsis:

Vote to pass a bill that establishes a $25 insulin price cap.

Highlights:

 

  • Requires an insurer who issues or renews a health insurance policy on or after July 1, 2020, to provide coverage for prescription insulin (Article 53, Sec. 1).

  • Prohibits the cost of a 30-day supply of covered prescription insulin from exceeding $25, regardless of the quality or type of prescription insulin used (Article 53, Sec. 1).

  • Requires each health plan to cover at least one type of insulin in all of the following categories (Article 53, Sec. 1):

    • Rapid-acting; 

    • Short-acting; 

    • Intermediate-acting; 

    • Long-acting; 

    • Pre-mixed insulin products; and

    • Concentrated human regular insulin. 

  • Requires an insurer to provide coverage for the following equipment and supplies for the treatment and management of diabetes for both persons with diabetes (Article 53, Sec. 1):

    • Blood glucose monitors; 

    • Monitor supplies; 

    • Insulin; 

    • Injection aids; 

    • Syringes; 

    • Insulin infusion devices; and

    • Pharmacological agents for controlling blood sugar and orthotics. 

  • Prohibits any contract between an insurer or its benefits manager and a pharmacy or its contracting agent containing the following provisions (Article 53, Sec. 1):

    • Authorizing the insurer’s pharmacy benefit officer or pharmacy to charge an amount that exceeds the cost-sharing payment established in this bill; 

    • Requiring the pharmacy to collect any amount that exceeds the cost-sharing payment established in this bill; or

    • Requiring a covered person to make a cost-sharing payment for covered prescription insulin in an amount that exceeds the cost-sharing payment established in this bill.

Legislation - Introduced (House) -

Title: Establishes an Insulin Price Cap

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