H 4496
An Act to help patients and reduce health care costs by ensuring patient adherence to medications
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- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to improve patient adherence to medications and potentially lower healthcare costs. It requires health insurance policies covering prescription drugs to allow for partial medication fills and refills, provided the prescriber and patient agree, without denying coverage based on the timing of the refill. The bill also prohibits the use of pro-rated dispensing fees for these partial fills, ensuring full payment for each prescription.
Key provisions
- Health insurance policies must permit partial medication fills and refills with patient consent.
- Insurance cannot deny coverage for partial fills if deemed beneficial by the prescriber and agreed upon by the patient.
- Pharmacies can override denial codes related to prescription timing for medication synchronization.
- Pro-rated dispensing fees for partial prescriptions are prohibited.
- Full payment must be made for each dispensed prescription, regardless of any associated fees.
Who is affected
- Patients
- Health Insurance Companies
- Prescribers
- Pharmacists
- Healthcare Providers
Notable changes
- Eliminates the possibility of health insurance denying coverage for partial medication fills.
- Prohibits the use of pro-rated dispensing fees for partial prescriptions, ensuring full payment.
- Allows for medication synchronization through partial fills and refills.
Sponsors
Official sponsors from legislative records.
Primary sponsor
Joint Committee on Financial Services
Cosponsor
Daniel J. Ryan
Arguments in favor
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Bill H.4496 194th (Current)
An Act to help patients and reduce health care costs by ensuring patient adherence to medications
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Bill Information
Bill Information
Sponsor: Joint Committee on Financial Services Status: Referred to Joint Committee on Health Care Financing
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Bill History Cosponsors Committee Vote Committee Summary
Bill History
Displaying 5 actions for Bill H.4496
| Date | Branch | Action |
| 9/18/2025 | House | Reported from the committee on Financial Services |
| 9/18/2025 | House | New draft of H1305 |
| 9/18/2025 | House | Reported favorably by committee and referred to the committee on Health Care Financing |
| 12/8/2025 | House | Reporting date extended to Wednesday, March 18, 2026 |
| 3/19/2026 | House | Reporting date extended to Monday, June 15, 2026 |
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