February 21, 2019
Recently enacted SB 1021 prohibits a drug formulary maintained by a health insurer or health care service plan from containing more than four tiers effective Jan. 1, 2019. Additionally, the new law requires health insurance policies and contracts to cover combination antiviral drug treatments that are medically necessary for the prevention of AIDS/HIV, effective Jan. 1, 2019 until Jan. 1, 2023. Existing law already requires such coverage for the treatment of AIDS/HIV.
Finally, the bill also extends the following existing laws until Jan. 1, 2024. They previously would have expired Jan. 1, 2020:
Plan sponsors should consider these requirements and work with their insurer to make any necessary changes to their drug formulary.
SB 1021 » EDD Announcement »