California
Seeks to prohibit a health care service plan or a health insurer covering prescription drug benefits and using a formulary from changing the applicable co-payments or deductibles or coinsurances for prescription drug benefits for the length of the contract or policy.
California A.B. 214:
This proposed bill would require every health care service plan that covers hospital, medical, or surgical expenses on a group or individual basis after January 1, 2010, shall provide coverage for durable medical equipment (dme) and services. Coverage shall be communicated to all contract-holders. The amount shall be no less than the annual and lifetime benefit maximums. If no maximums are included, then the amount of the DME benefit shall not be subject to an annual or lifetime maximum benefit level.