Mississippi 2022 Regular Session

Mississippi Senate Bill SB2470

Introduced
1/17/22  
Refer
1/17/22  

Caption

Insurers and pharmacy benefits managers; must apply cost-sharing assistance to patients' cost-sharing obligations.

Impact

If enacted, SB2470 could significantly impact how healthcare expenses are managed in the state by mandating that insurers and pharmacy benefits managers calculate cost-sharing amounts more transparently and inclusively. This bill obligates these entities to consider any out-of-pocket costs that an enrollee may incur, as opposed to calculating these expenses without factoring in assistance. Such a move is anticipated to not only alleviate the financial burden on patients but also increase the overall accessibility of essential medication.

Summary

Senate Bill 2470 seeks to amend the Mississippi Code by creating new sections that ensure state-regulated insurers and pharmacy benefits managers apply cost-sharing assistance to patients' cost obligations for prescription drugs. The main aim of the bill is to reduce out-of-pocket costs for patients, ensuring that any copayment, coinsurance, or deductible required to access healthcare services incorporates any financial assistance the patients receive. This effort reflects a broader push to make healthcare more affordable, especially in light of rising prescription drug costs across the nation.

Contention

Some concerns surrounding SB2470 might involve the implications of regulating pharmacy benefits managers and insurers in a manner that could change their existing practices, fostering a debate on the balance between regulatory oversight and industry flexibility. Proponents argue for the necessity of protecting consumers from exorbitant drug costs, while others may express concern about potential administrative burdens placed on insurance providers or the potential for unintended consequences in the market dynamics of prescription drug pricing.

Companion Bills

No companion bills found.

Previously Filed As

MS H3575

Pharmacy insurance benefits cost-sharing

MS HB880

Prescription drugs; provide for reduction of patients' cost for.

MS HB3368

Health insurance; Patients Pay Less Act; cost sharing; pharmacy benefits managers; rules; definitions; health insurers and administrators; Patient's Right to Pharmacy Choice Act definitions; definitions; effective date.

MS AB173

Regulation of pharmacy benefit managers, fiduciary and disclosure requirements on pharmacy benefit managers, and application of prescription drug payments to health insurance cost-sharing requirements. (FE)

MS SB203

Regulation of pharmacy benefit managers, fiduciary and disclosure requirements on pharmacy benefit managers, and application of prescription drug payments to health insurance cost-sharing requirements. (FE)

MS AB773

Regulation of pharmacy benefit managers, fiduciary and disclosure requirements on pharmacy benefit managers, and application of prescription drug payments to health insurance cost-sharing requirements. (FE)

MS SB737

Regulation of pharmacy benefit managers, fiduciary and disclosure requirements on pharmacy benefit managers, and application of prescription drug payments to health insurance cost-sharing requirements. (FE)

MS HB1041

Health insurance; cost-sharing, pharmacy benefits managers' compensation and duties, civil penalty.

MS HB1041

Health insurance; cost-sharing, pharmacy benefits managers' compensation and duties, civil penalty.

MS SB1078

Health insurance; cost-sharing, pharmacy benefits managers, compensation and duties, civil penalty.

Similar Bills

MS HB1091

Pharmacies; authorize to perform centralized prescription filling for other pharmacies if certain conditions are met.

MS HB1265

Pharmacists; authorize reimbursement for under certain insurance policies, plans, or contracts.

MS SB2795

Pharmacy Practice Act; extend repealer on and make various changes in.

MS HB856

Pharmacy Practice Act; extend repealer on and make various changes to.

MS HB1708

Pharmacy Benefit Managers; provide rules for those who administer the State Health Plan.

MS HB1125

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

MS HB1413

Pharmacy Benefit Manager Transparency Act; create.

MS SB2739

Pharmacy Benefit Prompt Pay Act, Pharmacy Integrity Act, jurisdiction of Department of Insurance; bring forward provisions of.