Delaware General Assembly

Passed 6/30/22

Ready for Governor for action

4/14/22

Mantzavinos

Reps. Griffith, Heffernan

Sen. Ennis, Gay, Hansen, Pinkney, Poore
Reps. Bolden, K. Johnson, Minor-Brown, Mitchell, Osienski, Michael Smith, K. Williams, Wilson-Anton

AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE TO ENSURE FAIRNESS IN COST-SHARING FOR PRESCRIPTION DRUGS.

The bill requires that third-party cost-sharing assistance utilized by patients is applied toward the enrollee's health insurance deductibles and any out-of-pocket limits. Additionally, the bill defines what constitutes a “cost-sharing requirement” as well as how to calculate the assistance when applying to patient’s deductibles and out-of-pocket limits. This bill applies to both carriers and pharmacy benefits managers with an effective date of January 1, 2024.

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Takes effect upon being signed into law

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