Colorado Adopts Emergency Regulation Concerning Contraceptive Benefits
CO | The Colorado Division of Insurance today announced the adoption of Emergency Regulation 23-E-07. It ensures that carriers and pharmacy benefit managers provide contraceptive benefits as part of health benefit plans and similar programs. The regulation is effective as of August 7, 2023. Click here to read the regulation for more information.
DC Provides Guidance for Claims Handling Under Newborn Health Insurance Act
DC | The Department of Insurance, Securities, and Banking (DISB) today issued Bulletin 23-IB-001. It provides guidance for health benefit plans providers concerning the handling of claims under Chapter 38 of the Newborn Health Insurance Act. Specifically, it addresses dual coverage under parents’ commercial health insurance policies and discusses appropriate policy forms language. Click here […]
New Mexico Issues PBM Data Call
NM | The New Mexico Office of the Superintendent of Insurance today issued Bulletin 2023-24. It provides interpretation of NMSA 1978 § 59A-61-7, which concerns claims adjudication fees assessed by pharmacy benefit managers. The bulletin includes instructions for reporting non-compliance or certifying compliance with the regulation. Click here to read the bulletin for more information.
Michigan Issues June 2023 PRIRA Cases
MI | The Michigan Department of Insurance and Financial Services today issued its list of new PRIRA cases for June 2023. Click here to review the cases in detail.
Maryland Issues Reminder of Flood CE Requirement
MD | The Maryland Insurance Administration today issued Bulletin 23-11. It reminds property and casualty producers of the new 2-hour continuing education for flood insurance that takes effect on October 1, 2023. The bulletin reviews the compliance criteria and provides contact information for the state’s CE services provider. The two hours of flood CE is […]
Missouri Addresses Medicaid Unwinding and Medicare Eligibility
MO | The Missouri Department of Commerce and Insurance today issued Insurance Bulletin 23-03. It explains the process of the MO HealthNet (Medicaid) unwinding following the end of the federal public health emergency. The Department then requests carriers to provide extended guaranteed issue Medicare supplement plan enrollment for residents impacted by this transition. Click here […]
Oregon Announces Methodology for Prescription Drug Affordability Review
OR | The Oregon Division of Financial Regulation today announced the adoption of Permanent Administrative Order PDAB 1-2023. It outlines the methodology for the Prescription Drug Affordability Board (PDAB) to select a subset of prescription drugs to prioritize for an affordability review. Click here to read the order for further details.
Oregon Issues Temporary Administrative Order for Copayments
OR | The Oregon Division of Financial Regulation today announced the adoption of Temporary Administrative Order ID 48-2023. The temporary rule allows health insurers to impose a copayment of not more than $5 for certain primary care or behavioral health office visits. This rule is effective from July 28, 2023 through January 23, 2024. Click here to […]
Oregon Addresses Insulin Co-Pay Amounts
OR | The Oregon Division of Financial Regulation today announced the adoption of Permanent Administrative Order ID 42-2023. It updates the insulin co-pay amount for health benefit plans effective August 1, 2023. Click here to read the order in full.
OID to Require Annuity Suitability and Best Interest Training
OK | The Oklahoma Insurance Department today issued Bulletin No. 6-2023. It explains the state’s new requirement for 4 hours of training on the Annuity Suitability and Best Interest Standard. The regulation takes effect on September 1, 2023. Click here to read the bulletin for more information.