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H. 4245
STATUS INFORMATION
General Bill
Sponsors: Reps. J.E. Johnson, McKnight, McGinnis, Hardee, Jordan, Atkinson, Brittain, Rose, Hayes, Huggins, Wooten, Caskey and Henegan
Document Path: l:\council\bills\jn\3406ph21.docx
Introduced in the House on April 22, 2021
Currently residing in the House Committee on Labor, Commerce and Industry
Summary: Insulin
HISTORY OF LEGISLATIVE ACTIONS
Date Body Action Description with journal page number
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4/22/2021 House Introduced and read first time (House Journal-page 29)
4/22/2021 House Referred to Committee on Labor, Commerce and Industry
(House Journal-page 29)
12/9/2021 House Member(s) request name added as sponsor: Huggins, Wooten
1/11/2022 House Member(s) request name added as sponsor: Caskey
2/22/2022 House Member(s) request name added as sponsor: Henegan
View the latest legislative information at the website
VERSIONS OF THIS BILL
TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-71-48 SO AS TO DEFINE "PRESCRIPTION INSULIN DRUG" AND REQUIRE ALL INDIVIDUAL AND GROUP HEALTH INSURANCE, HEALTH MAINTENANCE ORGANIZATIONS, AND THE STATE HEALTH PLAN TO CAP AN INSURED'S MONTHLY COST-SHARING OBLIGATION FOR COVERED PRESCRIPTION INSULIN DRUGS.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. Article 1, Chapter 71, Title 38 of the 1976 Code is amended by adding:
"Section 38-71-48. (A) 'Prescription insulin drug' means a prescription drug that contains insulin, is used to treat diabetes, and has been prescribed as medically necessary by the treating physician.
(B) All health insurance plans offered by individual and group health insurers and health maintenance organizations, including the State Health Plan, providing coverage for medical treatment must cap the total amount of cost-sharing required of an insured at an amount not to exceed one hundred dollars per thirty-day supply of prescription insulin drug, regardless of the amount or type of insulin needed to fill the insured's prescription.
(C) This section does not prevent an insurer from reducing an insured's cost-sharing obligation by an amount greater than the amount specified in subsection (B).
(D) The Department of Insurance may adopt rules and regulations to administer this section."
SECTION 2. This act takes effect upon approval by the Governor and applies to health insurance plans issued, renewed, delivered, or entered into after June 30, 2021.
This web page was last updated on
February 22, 2022 at 1:09 PM