HB 5483
Relating to financial assistance available for a prescription drug
Take action
Record your position on this measure.
Sign in to record your position, submit testimony, or contact your legislator.
Sign in to take action- Introduced
- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to improve access to affordable prescription drugs in West Virginia by requiring pharmacy benefit managers and insurers to include any cost-sharing amounts paid by insured individuals or others when calculating their contributions to health plan costs. It also prevents health plans from changing coverage based on the availability of financial assistance and establishes penalties for non-compliance. The bill applies to various types of health plans and health care services offered in the state.
Key provisions
- Requires pharmacy benefit managers to include cost-sharing amounts paid by insureds or others when calculating contributions to health plans.
- Applies an annual limitation on cost-sharing to all health plans in West Virginia.
- Prevents insurers from altering health plan terms based on financial assistance availability.
- Defines key terms related to cost-sharing and health plans.
- Establishes civil penalties for violations of the bill.
- Authorizes restitution for individuals harmed by violations.
- Applies the annual limitation on cost-sharing to health care services covered under health plans.
- Specifies effective dates for different sections of the bill.
Who is affected
- Insured individuals
- Health insurers
- Pharmacy benefit managers
- Third-party administrators
- West Virginia residents
Notable changes
Arguments in favor
Reasons to support this legislation.
No arguments in favor have been submitted.
Submit yoursArguments opposed
Reasons to oppose this legislation.
No arguments opposed have been submitted.
Submit yours