- Legislation/regulation that requires health insurers to make publicly available all drugs covered under each plan, including those administered in a provider’s office, and the dollar cost an enrollee would have to pay for each drug.
- Legislation/regulation that requires health insurers to offer a certain number of plans that only apply a reasonable flat dollar copayment to covered prescription drugs, even if the deductible is not yet met.
- Legislation/regulation that would limit the monthly amount a patient pays through copays or coinsurance applied to prescription drugs per prescription.
- Legislation/regulation that would prohibit insurers from making changes to a plan’s drug coverage that would impact a patient’s access, such as removing drugs from the formulary or changing cost-sharing in the middle of a plan year.
- Legislation that would require insurers to cover oral chemotherapy medication at a cost no greater than what a patient would pay for intravenous (IV) chemotherapy medication under their health plan.
