AB555

Existing law requires certain policies of health insurance to include coverage for the management and treatment of diabetes. Existing law requires that such coverage be subject to the same deductible, copayment, coinsurance and other conditions as are required under the policy for other types of health care. (NRS 689A.0427, 689B.0357, 695B.1927, 695C.1727) Sections 1, 4, 6-9, 11, 15 and 16 of this bill prohibit certain private health insurers from imposing a deductible, copayment, coinsurance or other cost-sharing obligation greater than $35 for a 30-day supply of a prescription insulin drug. Sections 2, 5, 10 and 13 clarify that an insurer may be required by sections 1, 4, 9 or 11 to impose a different deductible, copayment or coinsurance for a 30-day supply of a prescription insulin drug than would otherwise be required by the relevant policy of health insurance for other types of health care. Section 3 of this bill authorizes the Commissioner of Insurance to require certain policies of insurance issued by a domestic insurer to a person who resides in another state to meet the requirements of section 1 in certain circumstances. Sections 12 and 17 of this bill indicate that the requirements of sections 11 and 16, respectively, are inapplicable to coverage provided by a health maintenance organization or managed care organization to: (1) recipients of Medicaid or insurance under the Children's Health Insurance Program; and (2) government employees and their dependents. Se