Ga. Code § 33-24-59.28

Current through 2023-2024 Legislative Session Chapter 709
Section 33-24-59.28 - Insurer obligations for early prescription refills during emergencies
(a) As used in this Code section, the term "health care insurer" means an insurer, a fraternal benefit society, a health care plan, or a health maintenance organization authorized under this title to sell accident and sickness insurance policies, subscriber certificates, or other contracts of insurance by whatever name called.
(b) Every health care insurer licensed in this state that provides prescription medication coverage as part of a policy or contract shall waive time restrictions on prescription medication refills, which includes the suspension of electronic "refill too soon" limitations, to enable insureds or subscribers to refill prescriptions in advance and shall authorize payment to pharmacies for a 30 day supply of any prescription medication, regardless of the date upon which the prescription had most recently been filled by a pharmacist, when the following conditions occur:
(1) The person seeking the prescription medication refill resides in a county or other area of this state that:
(A) Is declared to be under a state of emergency by executive order of the Governor; or
(B) Is under a hurricane warning issued by the National Weather Service; and
(2) The prescription medication has refills remaining and a refill is requested within 30 days after the origination date of the conditions described in paragraph (1) of this subsection or until such conditions are terminated by the issuing authority or no longer exist.
(c) The Commissioner may by directive as authorized in Code Section 33-2-10 extend the time restriction waiver on prescription medication refills described in subsection (b) of this Code section for 15 or 30 day increments and until such time as he or she determines such extensions are no longer necessary.
(d) Nothing in this Code section shall exempt any insured or subscriber from compliance with all other terms of the policy or contract providing prescription medication coverage.

OCGA § 33-24-59.28

Added by 2020 Ga. Laws 589,§ 3, eff. 8/5/2020.