Oregon 2023 Regular Session

Oregon House Bill HB2715

Introduced
1/9/23  
Refer
1/13/23  

Caption

Relating to insurance coverage of prescription drugs.

Impact

If enacted, HB 2715 will significantly alter existing insurance practices, promoting greater inclusivity in prescription drug coverage. This change will mandate that insurers expand their formulary and coverage guidelines, potentially increasing the types and categories of drugs that are reimbursable. Stakeholders are hopeful that such provisions will lead to healthier populations, as individuals will have better access to necessary medications without facing substantial financial barriers. However, the extent of the implementation and compliance from insurance companies remains to be seen.

Summary

House Bill 2715 focuses on improving insurance coverage for prescription drugs, aiming to enhance patient access to necessary medications. The bill proposes amendments to current insurance regulations, which would require insurers to cover a broader range of prescription drugs, ensuring that patients are not burdened with exorbitant out-of-pocket costs. By addressing prescription affordability, the bill seeks to alleviate financial pressures on individuals requiring ongoing medications, thereby fostering overall public health.

Sentiment

Discussions surrounding HB 2715 reveal a generally positive sentiment among proponents who advocate for improved access to essential medications. Many see this bill as a critical step toward addressing healthcare inequities and enhancing the quality of life for countless individuals. However, some concerns were raised by insurers who worry about the financial implications of expanding coverage and the potential for increased premium costs. The sentiment in legislative hearings has been supportive overall, yet tempered with caution regarding implementation logistics.

Contention

Despite the prevalent support for HB 2715, notable points of contention exist, particularly surrounding the financial impacts on insurers and potential effects on premiums. Critics argue that while the intentions to broaden coverage are admirable, they may inadvertently lead to higher costs for policyholders in the long term. Additionally, some lawmakers express concerns regarding the definitions of essential vs. non-essential drugs and how this could complicate the regulations for insurers. The balance between broadening access and ensuring financial viability for insurance providers remains a contentious issue.

Companion Bills

No companion bills found.

Previously Filed As

OR HB2011

Relating to insurance coverage of prescription drugs.

OR SB354

Revises provisions relating to health insurance coverage of prescription drugs. (BDR 57-1041)

OR SB70

Prescription drug coverage.

OR HB263

Revise insurance coverage for prescription eyedrop refills

OR SB853

Prescription drug coverage.

OR AB2352

Prescription drug coverage.

OR H0899

Insurer Disclosures on Prescription Drug Coverage

OR HB4012

Relating to reimbursement of clinician-administered prescription drugs.

OR SB352

Revises provisions relating to prescription drugs. (BDR 57-134)

OR SB283

Enacts provisions relating to insurance coverage for prescription insulin drugs

Similar Bills

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

NM HB132

Mail-order & Community Pharmacy Access

VA HB1006

Health insurance; freedom of choice, delivery of prescription drugs or devices.

VA HB2107

Health insurance; pharmacies, freedom of choice, delivery of prescription drugs, penalties.

OK SB1860

Patient's Right to Pharmacy Choice Act; expanding retail pharmacy network access standards; prohibiting pharmacy benefits managers from requiring patient use affiliated pharmacy; expanding pharmacy network participation. Effective date.

LA HB704

Creates the pharmacy benefit managers quality incentive program (RE SEE FISC NOTE SG RV See Note)

IA HF852

A bill for an act relating to pharmacy benefits managers, pharmacies, and prescription drugs and including applicability provisions.(Formerly HSB 99.)

IA HSB99

A bill for an act relating to pharmacy benefits managers, pharmacies, and prescription drugs and including applicability provisions.(See HF 852.)