SB0136: A BILL FOR AN ACT to amend the Indiana Code concerning insurance.

Page last updated: Sunday, April 20, 2025 at 7:14 PM (America/Indianapolis).

General Information

• Stage: Introduced Senate Bill (S)
• Current Chamber: senate
• Origin Chamber: senate
• Description: Disclosures related to prescription drugs.

Legislators

Actions (2 total)

• Jan 8, 2025, 10:21 AM: First reading: referred to Committee on Health and Provider Services
• Jan 8, 2025, 10:21 AM: Authored by Senator Bohacek

Digest

Beginning January 1, 2026, requires a state employee health plan, a policy of accident and sickness insurance, and a health maintenance organization contract to provide to a covered individual the national average drug acquisition cost of a generic drug on the written materials provided at the point of sale. Provides that if an agreement between a health plan and a pharmacy benefit manager that is entered into or renewed after December 31, 2025, provides that less than 85% of the estimated rebates will be deducted from the cost of prescription drugs before a covered individual's cost sharing requirement is determined, the pharmacy benefit manager must provide the policyholder with a notice on an annual basis that includes: (1) an explanation of what a rebate is; (2) an explanation of how rebates accrue to the health plan from the manufacturer; and (3) the aggregate amount of rebates that accrued to the health plan for prescription drugs dispensed under the policyholder's health plan for the previous year.