00                      CS FOR HOUSE BILL NO. 382(HSS)                                                                    
01 "An Act relating to insurance coverage for pharmacy services."                                                          
02 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:                                                                
03    * Section 1. AS 21.42.390(a) is amended to read:                                                                     
04 (a)  A health care insurer that offers in this state a health care insurance plan                                       
05 that includes coverage for pharmacy services shall initially and at each renewal                                        
06 provide coverage for the cost of treating diabetes, including medication, equipment,                                    
07 and supplies. All health care insurance plans must include coverage for outpatient self-                                
08 management training or education, and medical nutrition therapy, if diabetes treatment                                  
09 is prescribed by a health care provider. Except as provided in (d) of this section, the                               
10 [THE] coverage required by this section is subject to standard policy provisions                                        
11 applicable to other benefits, including deductible or copayment provisions. Coverage                                    
12 for the cost of diabetes outpatient self-management training or education and for the                                   
13 cost of medical nutrition therapy is only required if provided by a health care provider                                
14       with training in the treatment of diabetes.                                                                       
15    * Sec. 2. AS 21.42.390 is amended by adding a new subsection to read:                                                

01 (d)  Except as necessary to qualify a plan as a high deductible health plan                                             
02 eligible for a health savings account tax deduction under 26 U.S.C. 223 (Internal                                       
03 Revenue Code), a health care insurer that offers, issues, delivers, or renews a health                                  
04 care insurance plan in the individual or group market in the state that provides                                        
05 coverage for prescription drugs may not charge an insured a combined total of more                                      
06 than $35 in cost sharing, deductibles, and copayments for coverage of a 30-day supply                                   
07       of a prescription drug containing insulin that is used to treat diabetes.                                         
08    * Sec. 3. AS 21.42.420 is amended to read:                                                                           
09 Sec. 21.42.420. Coverage for prescription drugs; specialty drug tiers                                                   
10 prohibited. Except as provided in AS 21.42.390(d), a [A] health care insurer that                                     
11 offers, issues, delivers, or renews a health care insurance plan in the individual or                                   
12 group market in the state that provides coverage for prescription drugs for which cost                                  
13 sharing, deductibles, or copayment obligations are determined by unique categories or                                   
14 specialty tiers may impose cost sharing, deductibles, or copayment obligations for a                                    
15 unique category or specialty tier prescription drug that exceed the dollar amount of                                    
16 cost sharing, deductibles, or copayment obligations, as applicable, for a nonpreferred                                  
17 brand drug or the drug's equivalent, but only if the insurer notifies the insured of the                                
18 cost sharing, deductible, or copayment terms applicable to unique categories or                                         
19       specialty tiers at least 90 days before the terms apply.                                                          
20    * Sec. 4. The uncodified law of the State of Alaska is amended by adding a new section to                            
21 read:                                                                                                                   
22 APPLICABILITY. This Act applies to an insurance policy or contract issued,                                              
23 delivered, or renewed on or after the effective date of this Act.