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Legislation watch
2022 Senate Bill 5610: Requiring cost sharing for prescription drugs to be counted against an enrollee's obligation, regardless of source
Introduced by Sen. David Frockt (Seattle) (D) on January 10, 2022
Referred to the Senate Health & Long-Term Care Committee on January 10, 2022
Substitute offered in the Senate on January 26, 2022
Requires all cost-sharing amounts paid by or on behalf of an enrollee to count toward the enrollee's applicable cost-sharing requirement under certain circumstance.
Referred to the Senate Rules Committee on January 27, 2022
Received in the House on February 11, 2022
Referred to the House Health Care & Wellness Committee on February 11, 2022
Amendment offered by Rep. Eileen Cody (West Seattle) (D) on March 2, 2022
Exempts drugs with a therapeutic equivalent preferred under the health plan's formulary from the requirement that a health carrier count all cost-sharing amounts regardless of source (except in circumstances involving prior authorization, step therapy, or an exception process). Requires a health carrier to count all cost- sharing amounts regardless of source throughout an exception request process, including any appeal of a denial of an exception request and including any time between the completion of an exception request process conducted by a health care benefits manager and when the health care benefits manager communicates the status of the request to the health carrier.
The amendment passed by voice vote in the House on March 2, 2022
Received in the Senate on March 7, 2022
Senate concurred in House amendments.
Passed final passage..
Signed by Gov. Jay Inslee on March 30, 2022