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956Type of Legislation: General Bill GBIntroducing Body: SenateIntroduced Date: 20000111Primary Sponsor: SetzlerAll Sponsors: Setzler, Elliott, Wilson, Branton, Reese, Alexander, Rankin, Courson, GieseDrafted Document Number: l:\council\bills\nbd\11550mm00.docCompanion Bill Number: 3484Residing Body: SenateCurrent Committee: Finance Committee 06 SFSubject: State health and medical insurance plan, prescription drug plan revised to copayment method; PharmaciesHistory Body Date Action Description Com Leg Involved ______ ________ ______________________________________ _______ ____________ Senate 20000210 Co-Sponsor added by Senator Courson Giese Senate 20000119 Co-Sponsor added by Senator Wilson Branton Reese Alexander Rankin Senate 20000111 Introduced, read first time, 06 SF referred to Committee Senate 19991207 Prefiled, referred to Committee 06 SF Versions of This Bill
TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 1-11-755 SO AS TO REQUIRE THE STATE BUDGET AND CONTROL BOARD TO DEVISE AND IMPLEMENT A PLAN REVISING THE PRESCRIPTION DRUG BENEFIT FOR STATE HEALTH INSURANCE PLAN MEMBERS FROM THE REIMBURSEMENT METHOD TO A COPAYMENT METHOD, TO PROVIDE THAT THE COPAYMENT ON A GENERIC PRESCRIPTION DRUG IS FIVE DOLLARS AND ON A NONGENERIC PRESCRIPTION DRUG IS TWENTY DOLLARS, AND TO TREAT AS A GENERIC PRESCRIPTION DRUG FOR COPAYMENT PURPOSES A NONGENERIC PRESCRIPTION DRUG THAT IS NOT AVAILABLE IN GENERIC FORM OR THAT IS CERTIFIED BY THE PRESCRIBING DOCTOR TO BE MORE EFFECTIVE THAN IN THE GENERIC FORM.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. Article 5, Chapter 11, Title 1 of the 1976 Code is amended by adding:
"Section 1-11-755. (A) The State Budget and Control Board, through its Office of Insurance Services, shall devise a plan, for implementation no later than January 1, 2001, that allows members of the state health insurance plan to obtain prescription drugs upon payment to the participating pharmacy of the required copayment with the balance paid directly to the pharmacy in the manner that the Office of Insurance Services determines appropriate. Deductibles applicable to the purchase of prescription drugs must be satisfied by members of the state health insurance plan.
(B) The plan must require a copayment of five dollars on a generic prescription drug and twenty dollars on a nongeneric prescription drug. For purposes of determining the copayment amount, a nongeneric prescription drug must be treated like a generic prescription drug if the nongeneric prescription drug is:
(1) not available in generic form; or
(2) certified by the prescribing doctor to be significantly more effective than in the generic form."
SECTION 2. This act takes effect upon approval by the Governor.
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