Section 743A.069 - [Effective 1/1/2025] 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.
This section is set out more than once due to postponed, multiple, or conflicting amendments.