Current through 2024 Regular Session legislation
Section 743A.069 - Insulin(1) As used in this section:(a) "Health benefit plan" has the meaning given that term in ORS 743B.005.(b) "Insulin" has the meaning given that term in ORS 689.696.(2) A health benefit plan offered in this state may not require an enrollee in the plan to incur cost-sharing or other out-of-pocket costs that exceed $35 for each 30-day supply of a type of insulin prescribed for the treatment of diabetes or $105 for each 90-day supply. (3) The coverage under this section may not be subject to a deductible imposed by a health benefit plan.(4) This section does not prohibit a health benefit plan from using a drug formulary or other utilization review protocol applicable to prescription drug coverage under the plan.(5) This section is not subject to ORS 743A.001.Amended by 2024 Ch. 18,§ 7, eff. 1/1/2025.743A.069 was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.