Bill Summary for H 684 (2023-2024)

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Summary date: 

Apr 18 2023

Bill Information:

View NCGA Bill Details2023-2024 Session
House Bill 684 (Public) Filed Tuesday, April 18, 2023
AN ACT TO REQUIRE HEALTH BENEFIT PLANS THAT PROVIDE COVERAGE FOR PRESCRIPTION EYE DROPS TO ALSO PROVIDE COVERAGE FOR EARLY REFILLS.
Intro. by K. Baker, Reeder, Crawford, White.

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Enacts new GS 58-3-295. Requires every health benefit insurance plan that provides coverage for prescription eye drops to not deny coverage for a refill of an eye drop prescription if both of the following two conditions apply:

(1) Applies to 30-day supplies. The patient requested the refill after (a) an amount of time after which the patient should have used 70% of the prescription eye drop dosage units according to a health care provider’s instructions or (b) 21 days from (i) the original date the insured patient was given the prescription or (ii) the date of the most recent refill to the insured patient.

(2) The prescribing health care provider indicates on the original prescription that the patient needs additional quantities of eye drops, and the insured patient’s request for a refill of eye drops does not exceed the number of additional quantities needed.

Effective October 1, 2023, and applies to contracts issued, renewed, or amended on or after October 1, 2023.