Tuesday, July 7, 2026
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Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.
Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least one health plan in each of the bronze, silver, gold, and platinum levels of coverage in each rating area in the individual and small group market conform with the following: (i) a plan that offers a platinum level of coverage shall limit a person's cost-sharing payment for prescription d…
Source: OpenStates · fetched April 13, 2026
Reduces out-of-pocket costs for prescription drugs for individuals enrolled in certain health plans.
- Low-income / working-classindirectModerate impactHigh certainty
Reduces out-of-pocket costs for prescription drugs for individuals enrolled in certain health plans.
“Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least one health plan in each of the bronze, silver, gold, and platinum levels of coverage in each rating area in the individual and small group market conform with the following: (i) a plan that offers a platinum level of coverage shall limit a person's cost-sharing payment for prescription d…”· Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.
- Requires health carriers offering plans in the individual or small group market to include at least one plan at each coverage level (bronze, silver, gold, platinum) in each rating area.
- Mandates that platinum-level plans limit cost-sharing payments for prescription drugs.
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